Insights: Policy

Medicare (Site Neutral)

The prospect of Medicare site neutral reforms has been simmering in the background of the reconciliation debate, but the issue has largely been sidelined as Republicans debate the breadth of their proposed Medicaid cuts. However, Republican leaders are increasingly struggling to balance the demands of moderates and conservatives regarding the...

Drug Pricing (MFN)

The White House has indicated that President Trump will issue an executive order (EO) – possibly as soon as next week – directing his administration to resurrect the Most-Favored Nation (MFN) drug pricing program seen during his first term. This comes on the heels of Trump pushing Congressional Republicans to consider including a Medicaid-focused...

IRA Clean Energy Credits

The House Ways and Means (W&M) Committee is expected to vote on tax provisions of the reconciliation bill the week of 5/12, and it would be typical for drafts of the legislation to begin circulating the week prior to a committee vote (i.e., in the next few days). One of the areas of the emerging tax legislation that has seen the most lobbying is...

Reconciliation & FY26 Defense Spending

Earlier this week, the House Armed Services Committee (HASC) advanced its portion of “reconciliation” legislation, which is considered under a special procedure that enables it to pass on a partisan (in this case, Republican) basis. The HASC legislation, designed in coordination with the Senate Armed Services Committee (SASC), increases defense...

The U.S. and Ukraine signed a minerals deal this week that gives the U.S. preferential access to Ukrainian minerals and that will help fund Ukrainian reconstruction. Treasury Secretary Bessent said the deal “signals clearly to Russia that the Trump administration is committed to a peace process centered on a free, sovereign and prosperous Ukraine...

Following three rounds of negotiations with Iran on reaching a new nuclear deal, President Trump yesterday threatened secondary sanctions on any country that does business with Iran. Those comments come after Trump said last week that he is open to meeting with Iranian leadership to secure a new nuclear deal and that he still prefers diplomacy to...