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Christina Fagnano

Legislative Affairs Associate

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

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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The Senate advanced legislation extending the moratorium on a 2 percent Medicare sequester cut; however, it is unlikely the House will take up the measure before April 1, when the cut is scheduled to take effect. The association submitted a letter of support for the LIFT America Act.

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The House voted to extend the moratorium on a 2 percent Medicare sequester cut, but the bill lacks support from Senate Republicans. The Senate confirms Xavier Becerra. A reintroduced bipartisan bill would ensure 340B hospitals can maintain program eligibility while responding to COVID-19.

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The House this week will vote on legislation to extend the moratorium on a 2 percent Medicare sequester cut. House Democrats unveil an infrastructure package that prioritizes funding for construction and modernization activities to bolster public health preparedness and cyberattack prevention.

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With a 50–50 party split in the Senate, Democrats must remain united and rely on Vice President Kamala Harris' vote to confirm the nomination of California Attorney General Xavier Becerra as secretary of health and human services.

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The $1.9 trillion COVID-19 relief bill would ensure essential hospitals receive the same level of Medicaid DSH payments as they would have absent the pandemic. Xavier Becerra's nomination as secretary of health and human services is expected to reach the Senate floor as early as next week.

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Congress races to pass COVID-19 relief through the budget reconciliation process before enhanced unemployment benefits expire March 14. Senate committees hold confirmation hearings for Xavier Becerra as secretary of health and human services.

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The House is expected to vote on a compiled reconciliation bill the week of Feb. 22. The Senate for the second time has acquitted former President Donald Trump of impeachment charges. House members are circulating a bipartisan letter calling for protections to the 340B Drug Pricing Program.

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House and Senate committees are working on the details of COVID-19 relief under the budget reconciliation process. The impeachment trial of former President Donald Trump is underway; members of both parties have indicated they prefer a short and swift trial.

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