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June 8, 2025

[HCA, THC, CYH, hospitals] White House Memo Adds Another Wrinkle to State-Directed Payment Programs in Medicaid

By Beth Steindecker

A new complication has arisen for hospitals [HCA, THC, CYH, ARDT, UHS, non-profit / municipally-backed facilities] – and to a lesser extent nursing homes, behavioral providers, and certain physicians – in the debate over payment…

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June 6, 2025

Thoughts on Medicare Savings Ideas in Reconciliation

By Beth Steindecker

Yesterday’s news reports that Senate Republicans are considering and discussing Medicare savings policies to add to the reconciliation bill for lowering the overall deficit and/or filling any potential hole from softening some of the House’s…

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June 6, 2025

Trump-Musk Spat: No Immediate Fallout

By Joe Lieber

Put us in the camp that the Trump-Musk dust up will have little impact on passage of the reconciliation bill. By last night, there appeared to be an attempt to lower the temperature on both…

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June 6, 2025

EW: Medicare Coverage Queue Delays?

By John Leppard

We suspect the timeline for Medicare coverage expansion will be longer than investors anticipate for EW’s asymptomatic transcatheter aortic valve replacement (TAVR) indication. While we see eventual reductions in procedure volume requirements – expanding eligibility…

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June 5, 2025

(CRCL) Stablecoin Legislation Update

By Joe Lieber

In light of the successful—at least so far— Circle Internet Group (CRCL) IPO today, we wanted to offer an update on stablecoin legislation (S. 394, the GENIUS Act), which benefits CRCL and which we believe…

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June 3, 2025

Potential Targets for Change Among Healthcare Reconciliation Policies [THC, ARDT, CNC, MOH, ELV]

By Beth Steindecker

As we await the Senate’s likely release of its reconciliation measure over the next week or so, we continue to expect the upper chamber to smooth the edges around some of the House-passed reconciliation bill’s…

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June 2, 2025

Lab Tools: NIH’s Bleak Budget & Reason For Hope?

By John Leppard

We continue to expect FY26 NIH funding to remain largely flat YoY, despite White House calls for a -40% cut weighing on life science tools (LST) names, with the House likely to produce its own…

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June 2, 2025

Capitol Policy Weekly-June 2-6: Reconciliation, Stablecoins, Trade, Russian Sanctions, FY26 Spending Kicks Off and Rescissions

By Joe Lieber

Congress returns this week after its weeklong Memorial Day recess, and the Senate will work on the House-passed reconciliation bill in earnest behind the scenes while the stablecoin legislation, the GENIUS Act, will probably reach…

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May 29, 2025

Trade Update: What’s Next after Reciprocal Tariffs?

By Joe Lieber

We have the following thoughts about the U.S. Court of International Trade (CIT) ruling against President Trump’s use of the International Emergency Economic Powers Act (IEEPA) to implement the reciprocal tariffs and how it might…

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May 28, 2025

T-Bill Demand, Credit Card Regulation and Stablecoins

By Joe Lieber

 We continue to believe that stablecoin legislation, known as the GENIUS Act (S. 1582) in the Senate, is likely to pass in that chamber in the next couple of weeks, creating a regulatory framework for…

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