Gregg's Top Three Health Policy Articles

If you can only read three things about health policy this week, I suggest...

The Top Three...

AP: Key Medicaid Provision In Trump Tax Bill Found To Violate Senate Rules The Senate parliamentarian has advised that a Medicaid provider tax overhaul central to President Donald Trump’s tax cut and spending bill does not adhere to the chamber’s procedural rules, delivering a crucial blow as Republicans rush to finish the package this week. Guidance from the parliamentarian is rarely ignored and Republican leaders are now forced to consider difficult options. Republicans were counting on big cuts to Medicaid and other programs to offset trillions of dollars in Trump tax breaks, their top priority. Additionally, the parliamentarian, who is the Senate’s chief arbiter of its often complicated rules, advised against various GOP provisions barring certain immigrants from health care programs. (Mascaro, 6/26)

CNN: RFK Jr.’s New CDC Advisers To Study Childhood Vaccination Schedule, Guidelines For Hepatitis B, Measles Shots At the first meeting of a controversial new group of vaccine advisers to the US Centers for Disease Control and Prevention, the committee announced new plans to study established vaccine guidelines. The Advisory Committee on Immunization Practices will create new work groups to study the cumulative effects of the childhood and adolescent vaccine schedules, the hepatitis B vaccine dose given at birth and the combination measles, mumps, rubella and chickenpox vaccine, new chair Dr. Martin Kulldorff announced at Wednesday’s meeting in Atlanta. (Tirrell, Goodman and Christensen, 6/25)

The Hill: Trump Administration Makes Sweeping Changes To Obamacare, Ends ‘Dreamer’ Coverage The Trump administration is shortening Obamacare’s annual open enrollment period and ending the law’s coverage of immigrants who entered the U.S. illegally as children, according to a final rule announced Friday. According to the rule, the federal open enrollment period will run from Nov. 1 through Dec. 31. Currently, federal open enrollment ends Jan. 15. States operating their own health insurance exchanges will have the flexibility to set their open enrollments, so long as they run no longer than nine weeks between the November and December dates. In addition to the shortened enrollment period, the administration said it is ending ObamaCare coverage for immigrants who came into the U.S. illegally as children, also known as “Dreamers.” (Weixel, 6/20)

For a Deeper Dive...

AP: CDC Nominee Monarez Affirms Vaccines But Sidesteps Questions About RFK Decisions Susan Monarez, President Donald Trump’s pick to lead the U.S. Centers for Disease Control and Prevention, told senators Wednesday that she values vaccines, public health interventions and rigorous scientific evidence, but largely sidestepped questions about widespread cuts to the agency, elimination of programs and whether she disagreed with any of Health Secretary Robert F. Kennedy Jr.'s actions to date. “The secretary is doing the important work of leading a complex agency,” Monarez told members of a Senate health committee that will decide whether to advance her nomination. (Aleccia, 6/25)

The Hill: Senate Republicans Battle Over Rural Hospital Relief Fund To Offset Medicaid Cuts Senate Republicans including Sen. Susan Collins (Maine) say a new proposal to create a $15 billion relief fund for rural hospitals is not adequate to make up for tens of billions of dollars in federal Medicaid funding cuts included in the Senate megabill to enact President Trump’s agenda. Collins told reporters Wednesday that the $15 billion relief fund floated by the Senate Finance Committee is likely not the final offer from Senate Republican leaders to address the concerns of several senators who worry the bill’s cap on health care provider taxes could put scores of rural hospitals out of business around the country. (Bolton, 6/25)

Politico: RFK Jr. Says US Won’t Donate To Global Vaccine Effort The United States won’t contribute anymore to Gavi, the Vaccine Alliance, until the global health organization has “re-earned the public trust,” U.S. Health Secretary Robert F. Kennedy Jr. said Wednesday. In an inflammatory video speech delivered to the Gavi pledging summit, seen by POLITICO, Kennedy accused Gavi of neglecting vaccine safety, making questionable recommendations around Covid-19 vaccines and silencing dissenting views. (Chiappa, 6/25)

Stat: NIH Halts Grant Terminations 'Effective Immediately' Days after a federal judge ordered the restoration of more than 1,000 biomedical research grants, the National Institutes of Health is halting further terminations of grants, an internal email shows. (Oza, 6/25)

The Hill: Cassidy Calls For Postponing RFK Jr’s Vaccine Advisory Panel Meeting Sen. Bill Cassidy (R-La.) called for the delay of this week’s meeting of a federal vaccine advisory panel handpicked by Health and Human Services Secretary Robert F. Kennedy Jr, citing concerns about members’ lack of experience and potential bias towards vaccines. “Wednesday’s meeting should not proceed with a relatively small panel, and no CDC Director in place to approve the panel’s recommendations,” Cassidy wrote in a post on X late Monday evening. (Weixel, 6/23)

Bloomberg: Oz Pushes Drug Middlemen To End Rebates Before Washington Acts Prescription drug middlemen should end the complicated system of drug rebates before the government steps in to change it, Medicare and Medicaid chief Mehmet Oz said Tuesday. The remarks signal the Trump administration may revive attempts to eliminate the payments drugmakers send to pharmacy benefit managers after prescriptions are filled. In his first term in 2019, President Donald Trump considered regulations that would have eliminated that system, but officials abandoned them before they went into effect. (Cohrs Zhang and Tozzi, 6/24)

KFF Health News: 5 Takeaways From Health Insurers’ New Pledge To Improve Prior Authorization Nearly seven months after the fatal shooting of an insurance CEO in New York drew widespread attention to health insurers’ practice of denying or delaying doctor-ordered care, the largest U.S. insurers agreed Monday to streamline their often cumbersome preapproval system. Dozens of insurance companies, including Cigna, Aetna, Humana, and UnitedHealthcare, agreed to several measures, which include making fewer medical procedures subject to prior authorization and speeding up the review process. (Sausser and Galewitz, 6/24)

What is Changing...

Axios: Accidental Death Data Threatened By Trump CDC Cuts The CDC center that provides a window into how Americans are accidentally killed could see much of its work zeroed out under the Trump administration 2026 budget after it was hit hard by staff cuts this spring. (Reed, 6/23)

For the Visual Among Us...

A few years ago I started a weekly e-mail for friends and colleagues who want to keep up on major federal health policy developments but did not have time to plod through all the minutiae--they were busy doing important things like running organizations and taking care of patients! Much to my surprise, it became pretty popular. I have now converted to a weekly newsletter format so you can manage your own subscription preferences and forward to others that might be interested.

These summaries represent my judgement on health policy issues that may not on the front pages, but are relevant to clinicians, administrators, and educators. I monitor many news sources and clipping services to identify content for this newsletter and I try hard to be as factual, balanced, and non-partisan as possible. While the articles are written by others (with credit attributed), the choice of what to include is entirely mine. If you are interested in receiving a daily summary of health policy news, you might consider signing up for the KHN Morning Briefing. If you enjoy podcasts, I suggest What the Health? and Tradeoffs.

-Gregg S. Margolis, PhD