Insights: Policy

Medicaid Payments (MN)

CMS has deferred payment of ~$260m in Medicaid federal matching dollars to the state of Minnesota (MN). The payments stem from claims submitted by the state in Q4 2025, specifically for personal care services (PCS), home- and community-based services (HCBS), and unspecified “other practitioner services.”

FDA Approval Process (Rare Disease Drugs)

The FDA has issued draft guidance outlining its “Plausible Mechanism Framework” for the development of therapeutics for rare diseases. Stakeholder comments on the draft guidance are due by April 27, 2026.

Medicare Advantage

Lobbying around the PY27 MA Advance Notice – the comment period for which closed on Wednesday (2/25) – is intensifying ahead of finalization (which must occur by April 6). Industry advocates (represented primarily by the Better Medicare Alliance) have been circulating a report suggesting the proposed rate update would result in increased senior...

Farmer Assistance

President Trump’s tariffs have elevated Congressional attention on the financial hardship that many farmers are facing. Although the administration has already announced $12b in direct payments to certain types of farmers, there have recently been calls from several key players in Congress to provide $15b+ in additional assistance. Additionally,...

Crypto Market Structure/Stablecoins

The White House has convened multiple meetings between the crypto and banking industries over the last few weeks to try to facilitate an agreement on the question of whether rewards can be offered on stablecoins. As you may recall, the banking industry is pushing to add restrictions on stablecoin rewards to broader crypto market structure...

Housing/Investment in Single Family Rentals (SFR)

President Trump has continued to escalate his push for legislation that would impose restrictions on institutional investment in single family rentals (SFR). He has made this his central response to housing affordability, as reflected in his State of the Union speech, and the White House has said he will not sign housing legislation without this...