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Notwithstanding a recent CMS memo advising insurers to design their Obamacare plan bids assuming expiration of the enhanced premium subsidies at year-end, we remain optimistic that Congress ultimately settles on a middle ground (revision and…

This week, with the not-so-surprising postponements of key House committee reconciliation markups, the focus will be on cobbling together a reconciliation bill. We could see a major trade deal announced this week. There is some…

We believe President Trump’s “skinny budget” proposal, released today, is mostly dead on arrival and could easily lead to a government shutdown at year’s end or early next year. We expect a more detailed version…

With GKOS shares down pre-market amid questions on its earnings call last night regarding the Medicare policy issues affecting iDose and iStent sales, we offer the following takeaways: We generally agree with the company that,…

Congressional Republicans have begun marking up the reconciliation bill this week passing out of committee $150 billion in increased defense spending. The House Judiciary Committee is expected to approve legislation providing $45 billion in funding…

A week away from an anticipated House Energy and Commerce committee (E&C) hearing – and whose timing could easily slip – we do not see any release of pressure on Medicaid insurers [CNC, MOH, ELV,…

Late last week the U.S. Supreme Court (SCOTUS) ordered the parties in Kennedy v Braidwood – evaluating mandatory cost-free coverage of preventive services recommended by the U.S. Preventive Services Task Force (USPSTF) – to submit…

The House is expected to begin marking up the reconciliation / tax bill this week, as Congress returns from a two-week recess. The lower chamber is also poised to consider legislation to repeal California’s electric…

We have long believed that the risks to the green energy tax provisions in the Inflation Reduction Act (IRA) were higher than the markets believed as Republicans look for offsets to pay for the reconciliation…

We continue to believe there is no better than a 1- in- 4 chance for Congress to enact a tax hike on Royal Caribbean (RCL), Carnival Corporation (CCL), and Norwegian Cruise Lines Holdings (NCLH) in…