Gregg's Top Three Health Policy Articles

Health policy impacts everyone, but it can be hard to know what is important. If you can only read three things about health policy this week, I suggest...

The Top Three...

The Washington Post: House Republican Revolt Scrambles Plan To Prevent Government Shutdown Congress began leaving Washington on Thursday for the long holiday weekend without a plan for how to prevent a government shutdown next week, as a revolt over spending brewed among hard-right House Republicans. Funding for 20 percent of the government is set to expire on Jan. 19, and the rest expires on Feb. 2. House Speaker Mike Johnson (R-La.) and Senate Majority Leader Charles E. Schumer (D-N.Y.) have agreed on an overall $1.66 trillion spending deal for the 2024 fiscal year, but lawmakers won’t have time to enact it before the deadlines. So the Senate on Thursday took procedural steps to be able to pass a stopgap funding bill, known as a continuing resolution or CR, to keep the government open while members work on long-term spending legislation. Members left town after that and are due to return on Tuesday. (Bogage and Sotomayor, 1/11)

The Hill: Obamacare Enrollment Breaks Record For Third Consecutive Year Health insurance enrollment through the Affordable Care Act’s (ACA) insurance marketplace has reached a record for the third consecutive year, according to the latest update from the Centers for Medicare and Medicaid Services (CMS). The CMS said in a statement Wednesday that enrollment for 2024 ACA plans had broken 20 million so far, with just less than a week left for people to sign up for plans. This exceeds 2023’s enrollment — 16.3 million — by roughly 4 million people. (Choi, 1/10)

The Washington Post: Congress Nears Deal To Partially Restore Biden’s Expanded Child Tax Credit Congressional lawmakers are closing in on a deal that would partially revive President Biden’s expanded tax credit for lower-income families in exchange for extending tax incentives favored by business interests, according to two people familiar with the matter. The higher child tax credit for lower-income families took effect in 2021 but expired that same year amid GOP opposition. Since then, Democrats have sought to bring back the higher credit, which they say pulled millions of lower-income families out of poverty. (Bogage and Stein, 1/10)

For a Deeper Dive...

ABC News: 118th Congress On Track To Become One Of The Least Productive In US History Lawmakers are halfway through the congressional session, and it looks like it could be a historic one for the wrong reasons, according to congressional data. The 118th Congress is on track to being one of the least functional sessions ever, with only 34 bills passed since January of last year, the lowest number of bills passed in the first year of a congressional session since the Great Depression, according to congressional records. (LoCascio, Siege and Pereira, 1/10)

Modern Healthcare: Biden Administration Overturns Trump-Era Provider Conscience Rule The Health and Human Services Department has once again revisited conscience protections for providers who object to delivering medical services such as abortions on religious or moral grounds. HHS issued a final rule Tuesday that takes effect immediately and mostly rescinds a 2019 regulation that aimed to broaden the conscience policy but was struck down by federal courts before HHS implemented it. HHS published a draft version of the new rule in 2022. (Hartnett, 1/9)

KFF Health News and PolitiFact: In A Fractious Rerun, GOP Rivals Haley And DeSantis Debate Health Care. Trump Sits It Out The race to win the quickly approaching Iowa caucuses was the theme running through Wednesday night’s Republican presidential debate hosted by CNN at Drake University in Des Moines, Iowa. Front-runner Donald Trump was again absent and only two other candidates made the cut: Florida Gov. Ron DeSantis and former South Carolina Gov. Nikki Haley. DeSantis and Haley fired a frenzy of attacks at each other’s records and positions. The faceoff was moderated by CNN “State of the Union” co-anchors Jake Tapper and Dana Bash. (1/11)

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