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Christina Fagnano

Legislative Affairs Associate

Christina Fagnano is the legislative affairs associate at America's Essential Hospitals.

The Congressional Budget Office this week is expected to release a full score of the $1.75 trillion "human infrastructure" package. Meanwhile, congressional leaders say it is unlikely appropriators will reach an agreement to fund the federal government for fiscal year 2022 by the Dec. 3 deadline.

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The House passed the $1 trillion bipartisan physical infrastructure bill after agreeing on a path forward for the $1.75 trillion "human infrastructure" bill. New language in the human infrastructure measure calls for Medicare to negotiate certain drug prices and retains Medicaid DSH cuts.

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President Joe Biden last week announced a $1.75 trillion framework for "human infrastructure" reconciliation legislation; the House subsequently released updated legislative text for its human infrastructure bill that aims to close the Medicaid coverage gap.

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Democrats aim to reach a deal this week on a "human infrastructure" reconciliation framework, but topline spending numbers, social policy priorities, and other details remain undecided. Once the framework is set, the House will vote on the Senate-passed bipartisan physical infrastructure bill.

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Reports indicate Democrats are likely to land on "human infrastructure" legislation costing $2.3 trillion or less — far below the $3.5 trillion package originally passed in committee. Absent a top-line spending agreement, lawmakers cannot determine the policies to include in a final bill.

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The Senate voted Oct. 7 to temporarily increase the debt ceiling by $480 billion; the government likely will remain below the new ceiling through year's end.

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After passing a short-term measure to fund the government through Dec. 3, Congress shifts focus to the federal debt ceiling. A Republican filibuster in the Senate prevented passage of legislation to extend the debt limit; lawmakers must resolve the issue by Oct. 18 to avoid default.

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The Senate remains in a stalemate over a continuing resolution to fund the federal government through Dec. 3, leaving congressional leaders little time to avoid an Oct. 1 shutdown. House debate begins on a physical infrastructure bill and work continues on "human infrastructure" legislation.

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The House this week is expected to consider a continuing resolution to temporarily extend current funding levels for the federal government. House Speaker Nancy Pelosi (D-Calif.) and Senate Majority Leader Chuck Schumer (D-N.Y.) intend to suspend the debt limit as part of the resolution.

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The House is scheduled to return to Capitol Hill next week, but House committees continue to meet and craft their sections of the Build Back Better Act, a "human infrastructure" reconciliation bill. House committees aim to complete markups by Sept. 15, with a full House vote possible before October.

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House committees begin marking up portions of the forthcoming "human infrastructure" reconciliation package, which is expected to include provisions to expand health coverage and lower prescription drug prices. The association's calls for government relations professionals will resume Sept. 9.

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The House passed a procedural rule setting the stage for the chamber's development of a "human infrastructure" package under budget reconciliation. In a concession to moderate Democrats, the rule calls for the House to vote by Sept. 27 on the bipartisan physical infrastructure legislation.

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The House pauses its August break to work on the bipartisan physical infrastructure package and $3.5 trillion fiscal year 2022 budget resolution. Speaker Nancy Pelosi (D-Calif.) aims to pass both measures by Oct. 1 but faces some opposition from moderate House Democrats.

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The Senate passed a $3.5 trillion fiscal year 2022 budget resolution with no Republican support; House leaders called members back to Capitol Hill for a brief legislative session Aug. 23. Moderate House Democrats are urging leadership to call a vote on the bipartisan physical infrastructure bill.

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The Senate voted 69–30 to advance a bipartisan physical infrastructure bill. Meanwhile, Senate Democrats released a $3.5 trillion budget resolution, the precursor to a partisan reconciliation bill on “human infrastructure” priorities. Notably, the resolution does not contain a debt limit increase.

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The Senate released much-anticipated legislative language for a $1.2 trillion bipartisan physical infrastructure package. While the legislation includes no major health care policies, it does list several health care changes to help pay for new spending.

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Negotiations continue on a bipartisan physical infrastructure plan after Senate Republicans blocked a procedural vote to begin formal deliberations on the framework. Republican senators opposed the legislative text because it is not final and has no Congressional Budget Office score.

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As a bipartisan group of senators crafts infrastructure legislation, Senate Democrats work to develop a human infrastructure package.

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Senate Majority Leader Chuck Schumer (D-N.Y.) aims to vote on a bipartisan physical infrastructure bill, as well as a budget resolution to begin the process of advancing a "human infrastructure" package, before the chamber adjourns for its August recess.

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On July 1, the House passed a five-year $715 billion surface transportation and water infrastructure bill, fulfilling House Speaker Nancy Pelosi’s (D-CA) commitment to clear an infrastructure bill before the July Fourth holiday. The Senate continues work to develop broad infrastructure legislation.

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A bipartisan group of senators reached an agreement with the White House on a $1.2 trillion physical infrastructure framework that lists extending the 2 percent Medicare sequester cut as a potential method of funding the package. Lawmakers now must turn the framework into legislation.

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Senators continue efforts to build consensus on a $1.2 trillion bipartisan physical infrastructure proposal introduced last week, but Democrats are taking steps to initiate the budget reconciliation process in case those talks ultimately fall short.

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The new infrastructure deal comes after months-long negotiations between the Biden administration and Senate Republicans fell apart. It includes roughly $579 billion in new spending. However, lawmakers in both parties expressed skepticism that the plan could secure enough votes to pass the Senate.

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A bipartisan infrastructure plan is unlikely to pass the Senate by July. Democrats are likely to explore using budget reconciliation, but a recent parliamentarian ruling indicates they might be unable to attempt the process using the FY 2021 budget resolution.

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Republicans offer a $928 billion counterproposal to President Joe Biden's $1.7 trillion infrastructure package. Leaders of the Senate Committee on Health, Education, Labor, and Pensions and House Committee on Energy and Commerce seek information on developing a public health insurance option.

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The Senate confirmed Chiquita Brooks-LaSure as head of the Centers for Medicare & Medicaid Services. Several Senate committees last week examined issues of importance to essential hospitals, including telehealth, hospital consolidation, and the medical supply chain.

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The Senate voted to advance the nomination of Chiquita Brooks-LaSure as Centers for Medicare & Medicaid Services administrator; a full Senate vote could take place this week. America's Essential Hospitals hosted a virtual Capitol Hill briefing in recognition of the association's 40th anniversary.

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President Joe Biden is scheduled to meet with House and Senate lawmakers this week to discuss a bipartisan path forward on infrastructure legislation ahead of his fiscal year 2022 budget proposal. The Senate is expected to confirm Andrea Joan Palm as deputy secretary of health and human services.

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President Biden's address to Congress focused on his proposals to rebuild and revamp the nation's infrastructure, including the American Families Plan.

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The president met with a group of bipartisan lawmakers to discuss his $2 trillion American Jobs Plan infrastructure proposal; other lawmakers have expressed interest in a less costly, more targeted package. The Senate Committee on Finance is expected to advance two Biden administration nominees.

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The House will vote as early as tonight to extend the moratorium on the 2 percent Medicare sequester cut; CMS has held provider claims in anticipation of this bill passing. Meanwhile, lawmakers continue conversations on infrastructure funding and workplace violence prevention.

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