June 8, 2025
[HCA, THC, CYH, hospitals] White House Memo Adds Another Wrinkle to State-Directed Payment Programs in Medicaid
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…
June 6, 2025
Thoughts on Medicare Savings Ideas in Reconciliation
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…
June 6, 2025
Trump-Musk Spat: No Immediate Fallout
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…
June 6, 2025
EW: Medicare Coverage Queue Delays?
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…
June 5, 2025
(CRCL) Stablecoin Legislation Update
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…
June 3, 2025
Potential Targets for Change Among Healthcare Reconciliation Policies [THC, ARDT, CNC, MOH, ELV]
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…
June 2, 2025
Lab Tools: NIH’s Bleak Budget & Reason For Hope?
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…
June 2, 2025
Capitol Policy Weekly-June 2-6: Reconciliation, Stablecoins, Trade, Russian Sanctions, FY26 Spending Kicks Off and Rescissions
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…
May 29, 2025
Trade Update: What’s Next after Reciprocal Tariffs?
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…
May 28, 2025
T-Bill Demand, Credit Card Regulation and Stablecoins
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…