Senators left Washington earlier than expected to campaign for midterm elections after confirming 15 federal judicial nominees and failing to overturn a regulation expanding short-term insurance plans.

As midterm elections loom, Congress sent to the president the federal government's first comprehensive policy response to the nation's opioid crisis; a bipartisan House letter questions outpatient payment cuts; and New Hampshire senators introduced surprise billing legislation.

Before recessing to campaign for midterm elections, the House wrapped up work on bills to fund several federal agencies, combat the opioid crisis, and fund the Hospital Preparedness Program.

The discussion draft addresses several patient care scenarios that could lead to surprise billing; Congress is expected to vote this week on reauthorization of the Pandemic and All-Hazards Preparedness Act, government funding for fiscal year 2019, and a bipartisan opioid package.

Two senators lead a letter-signing campaign to stop the expansion of hospital outpatient department cuts; in a 99-1 vote, the Senate approves legislation to combat the opioid crisis and is poised to vote on a spending bill for fiscal year 2019.

The Senate is expected to vote this week on a bipartisan legislative package to combat the opioid crisis. The House considers legislation to roll back Affordable Care Act provisions.

Before starting the final campaign stretch, Congress returns to Washington to consider Brett Kavanaugh's Supreme Court nomination and to fund the federal government for the fiscal year that starts Oct. 1.

The Senate passed a funding package for the Defense, Labor, Health and Human Services, and Education departments and now must reconcile its version with House-passed legislation.

Senate leaders hope to pass by Labor Day legislation to appropriate funds for the Defense, Labor, Health and Human Services, and Education departments; a Senate committee will examine Medicaid fraud.

Congress is expected to consider legislation to combat the opioid epidemic, fund the Department of Health and Human Services, and enable federal response to pandemic threats.

Bills to repeal the medical device tax and expand health savings accounts go to a House floor vote; a House committee advanced legislation that would fund the Hospital Preparedness Program at about $265 billion annually.

A Government Accountability Office witness and several 340B Drug Pricing Program stakeholders testified last week at a House committee hearing; another House committee marked up several consumer-driven health care bills.

The July 11 hearing will focus on contract pharmacies and a slate of 15 bills and discussion drafts related to the program; two essential hospital leaders will testify.

A new bill by Rep. Chris Collins (R-NY) would impose a user fee for hospitals participating in the 340B Drug Pricing Program; a House subcommittee marked up hospital preparedness and graduate medical education bills.

The legislation, containing more than 50 bills to combat the opioid crisis, now heads to the Senate; it is unclear whether senators will pass the package or consider their own legislation.

Modeled on a program developed at essential hospital St. Joseph's Regional Medical Center, in Paterson, N.J., the Alternatives to Opioids bill is one of 25 opioid-related bills the House passed last week.

The House aims to complete voting by the July Fourth recess, but Senate work on opioid legislation likely will continue into August amid a shortened recess.

Lawmakers previously aimed to pass an opioid package by Memorial Day; Committee hearings focus on the Pandemic and All-Hazards Preparedness Act, the Department of Health and Human Services, and the president's blueprint to lower drug prices.

The Pandemic and All-Hazards Preparedness Reauthorization Act, which includes $385 million annually for the Hospital Preparedness Program, has been cleared for consideration on the Senate floor; Congress aims to vote on opioid package before the July Fourth recess.

Senate Democrats sharply questioned the repeated delays of a final rule on drug ceiling prices and manufacturer civil monetary penalties; The House continues to focus on passing an opioid package.

House leadership remains focused on passing a bipartisan opioid-related legislative package by Memorial Day, but recently indicated a June vote might be more likely.

Four House hearings this week examine the opioid crisis, as lawmakers work to craft bipartisan legislation; A Senate hearing focuses on oversight reports on the 340B Drug Pricing Program.

House and Senate lawmakers last week reviewed more than 60 opioid-related bills before heading into a week-long recess.

House and Senate committees this week will mark up legislation to combat the opioid epidemic with the hope of passing a bipartisan bill by Memorial Day.

Senate and House panels hold hearings on opioid and substance use disorder treatment among Medicare and Medicaid beneficiaries and how distributors might contribute to the crisis.

The Senate Committee on Health, Education, Labor, and Pensions and the House Committee on Energy and Commerce will hold hearings this week on measures to combat the opioid epidemic.

When Congress returns next week, the House Committee on Energy and Commerce will consider more than a dozen bills during its third and final hearing on the opioid crisis.

The final package, passed last week, included $4 billion for combating the opioid crisis and a $10 billion increase in HHS funding, but left out measures to stabilize the insurance marketplace.

Negotiations on the bill have stalled amid disagreements on certain provisions, such as including language barring abortion access as part of a package to stabilize the Affordable Care Act's insurance marketplace.

House Republicans this week hope to bring to the floor a bill to fund the government through the remainder of the fiscal year; America's Essential Hospitals CEO asked to testify during Senate committee hearing on 340B Drug Pricing Program.

Congress this week is focused on negotiating legislation to stabilize the Affordable Care Act insurance marketplace and efforts to fight the opioid crisis.

House hearings will review legislation on enforcement measures to combat the opioid crisis; a new Senate bill would provide funding for prevention and treatment programs.

Republicans from both chambers work on a marketplace stabilization package; Senate Finance Committee Republicans plan to review the Internal Revenue Service's process for designating nonprofit hospitals.

The budget plan for fiscal years 2018 and 2019 proposes changes to the distribution of 340B Drug Pricing Program savings and increased funding to fight the opioid crisis.

The measure, which updates a continuing resolution set to expire on Feb. 8, delays cuts to Medicaid disproportionate share hospital payments for fiscal years 2018 and 2019.

The association continues to work with congressional leadership and staff to ensure a delay of Medicaid disproportionate share hospital cuts is included in the next funding measure; Senate confirms new Health and Human Services Secretary.

The measure passed by Congress and signed by President Trump Monday funds the government through Feb. 8 and extends the Children's Health Insurance Program six years, but leaves unresolved a delay of Medicaid disproportionate share hospital cuts.

As Congress focuses on Jan. 19 funding deadline, America's Essential Hospitals continues pressure to delay Medicaid disproportionate share hospital cuts. The Trump administration releases guidance on work requirements for Medicaid recipients.

Congress returns from recess to focus on long-term solutions after passing a short-term bill to fund the government through Jan. 19; lawmakers push for delay of 340B Drug Pricing Program cuts.

The final tax deal includes the repeal of the Affordable Care Act's individual mandate, Advance Refunding Bonds and Private Activity Bonds.

Republican leaders hope to introduce the final tax reform bill early next week; a bill to stop cuts to the 340B Drug Pricing Program has 130 cosponsors.

Tax reform legislation heads to a House-Senate conference committee. Meanwhile, a bill to delay Medicaid disproportionate share hospital payment cuts could be included in year-end legislation.

The legislative priorities include a health care extenders package, tax reform, and a long-term funding bill. Also, bipartisan House legislation to halt 340B payment cuts now has more than 50 cosponsors.

The House passed the Tax Cuts and Jobs Act; the Senate version of the tax reform bill includes a repeal of the Affordable Care Act's individual mandate.

The Finance Committee's "chairman's mark" is similar to a House bill, but forgoes many House provisions of particular concern to essential hospitals.

The bill delays disproportionate share hospital payment cuts for two years; House Republicans consider repealing the individual mandate through tax reform.

The CHAMPIONING HEALTHY KIDS Act extends Children's Health Insurance Program funding for five years and delays cuts to Medicaid disproportionate share hospital payments for two years.

A bipartisan Senate bill would fund cost-sharing reduction payments; Congress has yet to renew funding for the Children's Health Insurance Program.

The Congressional Budget Office estimates premiums will increase 20 percent by 2018 and the uninsured population will increase by 1 million; 19 states and the District of Columbia filed a lawsuit arguing that withholding the payments violates current law.

Senate and House bills to fund the Children's Health Insurance Program are similar, but the House version includes a one-year delay of Medicaid disproportionate share hospital cuts.

The federal fiscal year came to a close Sept. 30, ending a nearly yearlong congressional effort to repeal and replace the Affordable Care Act and bringing tax reform efforts and other health care priorities to the forefront in Congress.

Tuesday's decision effectively ends Congress’ current push to repeal and replace the Affordable Care Act; a letter calling for the delay of Medicaid DSH cuts has garnered nearly 200 signatures in the House.

The bill would replace Medicaid expansion funding and private insurance subsidies with $1.2 trillion in block grants to states; the Congressional Budget Office is expected to release a score early next week.

Congress aims to pass legislation by Sept. 30 to stabilize the Affordable Care Act (ACA) insurance markets and reauthorize several health care programs; three senators plan to unveil new ACA repeal legislation.

Lawmakers return from the August recess to consider legislation and policy related to the Children’s Health Insurance Program, market stabilization, and cost-sharing reductions.

Senate committees will focus on market stabilization legislation and Children’s Health Insurance Program (CHIP) reauthorization; the association seeks to attach to the CHIP bill a delay of Medicaid disproportionate share hospital payment cuts.

After Affordable Care Act repeal efforts collapsed in the Senate, the administration began considering options on cost-sharing reduction payments, but some lawmakers remain focused on repeal.

The Senate approved a motion to proceed, which is needed to open floor debate of a repeal bill; it remains unclear how the Senate will proceed.

Senate Majority Leader McConnell said he would bring up a repeal-only bill that includes a two-year transition period for replacing the Affordable Care Act, but three Republican senators oppose the plan.

Senate Republican leadership continues negotiations with Republican holdouts; a vote on the bill is expected before the month-long August recess.

Negotiations continue; areas of contention include the Medicaid per-capita cap growth rate and the phase out of Medicaid expansion enhanced funding.

A revised draft of the Senate bill was released to address some Republicans' concerns, but it made no meaningful changes to the bill’s Medicaid provisions.

A group of Republican and Democratic governors sent a letter to Senate leadership encouraging a bipartisan approach to repealing the Affordable Care Act.

Senate Republican leaders aim to submit a draft bill to the Congressional Budget Office early this week and vote on the bill before the July Fourth recess.

Senate Republican leadership recently indicated the possibility of a vote by the end of July, before the month-long August recess.

The plan would reduce funding for social and entitlement programs for low-income Americans by $1.7 trillion, including a $610 billion cut to Medicaid.

Senate Republicans stay focused on a strategy to repeal and replace the ACA; committees hold hearings on public health, Medicare, and chronic conditions.

A 13-member Senate working group made up of conservative and moderate Republicans now begins to craft its own version of the legislation.

Rep. MacArthur (R-NJ) proposed an amendment to the AHCA that would have allowed states to opt out of several important insurance regulations.

Lawmakers face an extensive agenda of legislative priorities, including health care and tax reform, and most urgent, a continuing resolution to prevent a government shutdown.

When lawmakers return, they could attempt to make additional changes to pass the American Health Care Act, legislation to repeal and replace the ACA.

Talks of a deal to resurrect the American Health Care Act — legislation to repeal and replace the ACA that was pulled in March — are underway.

House GOP leadership pulled the bill due to inadequate support; the association now resumes its focus on other hospital-related issues, including DSH cuts.

The replacement plan would make steep cuts to Medicaid and leave an estimated 24 million more people uninsured, compared with current law under the ACA.

The American Health Care Act moves next to the House Committee on the Budget, which is scheduled to mark up the legislation on Thursday.

The House committees on Energy and Commerce and Ways and Means this week released their long-awaited legislation to repeal and replace the ACA.

Draft GOP text for legislation to repeal and replace the ACA leaks; a Senate committee is poised to vote on the administration's CMS administrator nominee.

Congress is poised to pass legislation that would include socioeconomic risk adjustment for the Hospital Readmissions Reduction Program and some relief from payment cuts for new hospital outpatient departments.

Lawmakers are closing in on negotiations for 21st Century Cures legislation and also working to complete a short-term continuing resolution to fund the federal government through March 2017.

The impending full control of government by Republicans is expected to kick start discussions about repealing the Affordable Care Act and passing entitlement reform.

Congress passed a bill to fund the government through Dec. 9. Meanwhile, 179 House members sent a letter urging CMS to stop mandatory payment and service delivery demonstrations.

On Sept. 27, the Senate failed to invoke cloture, which would have allowed it to move to final passage of the continuing resolution.

At stake is funding to combat the Zika virus, among several other policy issues that have kept the measure from moving forward.

While details are still being finalized, a continuing resolution to fund the government through early December likely will include funding to combat Zika.

Congress seems likely to pass a continuing resolution to fund the government beyond Sept. 30. Lawmakers also are expected to approve funding to combat Zika.

When Congress resumes, it will race to pass legislation to keep the government running beyond Sept. 30.

This week, the Senate votes on the Comprehensive Addiction and Recovery Act. Last week, the House passed a mental health bill in a bipartisan vote.

To avoid a government shutdown, Congress might have to pass an omnibus appropriations measure if lawmakers fail to reach spending agreements by Sept. 30.

The Senate rejected a $1.1 billion Zika funding package, and Patrick Conway, with CMS, testified about the proposed Medicare Part B demonstration project.

House Energy and Commerce Health Subcommittee will hold a hearing on the National Trauma System. Opioid legislation cleared both chambers.

Senate appropriators pass HHS spending bill that includes 340B Drug Pricing Program user fee and instructions to HRSA to consider stakeholder input in final mega-guidance.

The legislation would incorporate risk adjustment for socioeconomic status into Medicare's Hospital Readmissions Reduction Program.

Lawmakers are expected to have a busy June that also could include agreement among House and Senate leaders on funding to combat Zika.

Panel approves bill that would add socioeconomic risk adjustment to Medicare's readmissions reduction program and avert some cuts to hospital outpatient departments.

The House and Senate are expected to vote on Zika spending. In other activity, opioid measure are set to go to conference and committees review Part B payment model and tax-related health proposals.

The House is expected to vote on several opioid-related measures, and 19 House Democrats sent CMS a letter of support for the Medicare Part B demonstration to reduce drug costs.

Lawmakers are in recess this week following failure of the House to pass a bipartisan budget resolution. Last week, House and Senate committees tackled opioids, disparities, and mental health.

Lawmakers continue negotiations to respond to the president’s request for $1.9 billion in emergency funding. Also this week, an expert from association member The University of Chicago Medicine will participate in a Capitol Hill forum on minority health disparities.

In a letter, two Senate leaders ask CMS to reduce hospital opioid use. The House Energy and Commerce Committee examines MACRA and marks up 12 health bills.

Lawmakers say star ratings fail to consider patients' socioeconomic status and could mislead consumers. House, Senate also work on appropriations legislation, Zika, Flint water crisis, and health tax.

HELP Committee finishes work on package of 19 bills, designed to complement the House-passed 21st Century Cures measure. The House is in recess this week.

House Republicans might not have the votes to pass their budget resolution before a two-week congressional recess. House committees take up opioids and medical liability and the Senate HELP committee continues work on its 21st Century Cures companion legislation.

Conservative Freedom Caucus opposes GOP budget plan; Senate-passed bill would combat opioid abuse; health committees work on mental health, Medicare improvement.

The House will consider a bill to prevent payments to providers ineligible for Medicaid and CHIP. The Senate will consider measures to fund opioid abuse and respond to the Flint water crisis.

Association responds to House lawmakers' request for comment on Medicare's new payment policy for off-campus hospital outpatient departments. Congress works on FY 2017 budget, holds hearings on Zika virus and opiod abuse.

Partisan politics follow Scalia death; House speaker to table entitlement reform until next year; congressional panels to hold hearings on HHS budget, opiod abuse, Zika virus.

Budget plan would improve Medicaid access and coverage and tackle drug pricing, but make damaging Medicare cuts; lawmakers examine Medicaid housing coverage, FMAP, 21st Century Cures, mental health.

House, Senate panels to examine rising cost of drugs, lack of transparency in the drug price negotiation process, and barriers to generic drug applications.

Senate Judiciary examines heroin and prescription drug abuse; Winter Storm Jonas delays scheduled House Energy and Commerce Health Subcommittee hearing on Medicaid FMAP

America's Essential Hospitals and two members systems host congressional staff for round-table discussions about how proposed 340B Drug Pricing Program guidance threatens vulnerable patients and essential hospitals.

Obama touts ACA successes in final address, calls for ongoing support of Medicare, Social Security. House Speaker Ryan prepares ACA replacement plan as GOP continues repeal efforts; Califf wins Senate HELP vote.

House returns from recess for largely symbolic vote on Senate-passed reconciliation bill that would repeal many ACA provisions, including Medicaid expansion; Senate remains out.

Budget deal includes a $3 billion funding increase for the NIH and $300 million for the CDC.

House and Senate lawmakers negotiate omnibus appropriations bill and two-year extension of tax cuts, but fail to provide relief on new Medicare site-neutral payment policy for hospital outpatient departments.

Congress debates omnibus appropriations measure, considers another stop-gap funding bill, as deadline for government shutdown looms.

Congress returns from Thanksgiving recess to must-pass bills on highway funding and appropriations; Senate leaders work on reconciliation package ahead of Dec. 11 appropriations vote.

Congressional staff continue negotiating omnibus appropriations package, which is expected to go to a vote by Dec. 11; Sen. Wyden asks HHS for update on progress of state 1332 waivers.

Letter from Senate Finance Committee leaders asks America's Essential Hospitals, other stakeholders, for comment on Medicaid transparency, quality, accountability

Senate plans to expand House reconciliation bill with full ACA repeal; Rep. Brady named Ways and Means chair; Republicans establish Medicaid task force.

President signs budget deal that reduces payment to new hospital outpatient facilities; Ryan becomes House speaker; Energy and Commerce Committee considers Medicaid supplemental payment oversight bills

The House proposes a budget deal with potentially damaging changes for essential hospitals - the association is fighting these. Paul Ryan expected to be the next speaker of the House. The Senate HELP committee examines mental health.

Letter to congressional leaders, signed by more than 100 hospital executives, calls for passage of bills to adjust Medicare readmissions program for socioeconomic status

House Budget Committee clears reconciliation bill that would defund Planned Parenthood for one year and make substantial changes to the Affordable Care Act. Outlook remains unclear for choice of next House speaker.

The House Republican vote for speaker will be held on Thursday, other leadership races postponed until later this month. Full House vote for speaker expected in Nov. Budget reconciliation efforts continue.

Congress will vote to pass legislation to avoid a government shutdown. Meanwhile, House committees are also working to pass budget reconciliation measures that would defund Planned Parenthood and make major changes to the Affordable Care Act.

This week congressional action is slow as lawmakers prepare for the papal visit. With a government shutdown only days away, lawmakers work to reach funding negotiations amid Planned Parenthood debate.

Planned Parenthood controversy continues to influence federal funding negotiations. Health insurer and hospital mergers are reviewed. Plus, committees consider abortion, Medicaid, HIT, and biosimilar drugs.

Planned Parenthood remains an issue in government funding. Congress considers hospital bills, Medicare Part B premiums, medical innovation, health care competition, and Medicaid fraud and abuse, vows to focus on mental health.

The hospital-related NOTICE Act was sent to the president last week. An ACA repeal vote remains likely for fall along with the potential for a government shutdown.

The Senate fails to repeal the ACA but will keep trying. Committees discuss HHS priorities and health care bills, including a bundle of hospital-related bills.

Sen. Grassley requested a hearing on recent 340B GAO report. House calls and clinical trials for Medicare patients each pass one chamber. Committees review Medicare hospital payments, HIT, and marketplaces.

Last week the House passed 21st Century Cures legislation with strong bipartisan support. Congressional committees are reviewing Medicare Part D, deadly diseases and HealthCare.gov.

GOP will weigh procedural tactics to repeal the ACA or propose tax reform; House vote on Cures bill expected.

Republicans will also continue to develop a strategy for undoing the ACA in light of the Supreme Court's ruling upholding the law last week.

The House will vote to repeal two major ACA provisions this week - medical device tax and the IPAB - and consider four Medicare Advantage bills. Health committees are reviewing mental health and HIT.

A total of $3.3 billion is marked for CMS, which is about $344 million below current funding. The subcommittee will consider the bill tomorrow.

The House could vote on 21st Century Cures legislation as early as next week, health committees focus on 9/11 compensation and health information exchange.

Topics include Medicare Advantage, the ACA's medical device tax, Medicaid fraud and abuse, and the Medicare appeals process.

Parts of the Cures package will now likely go to other House committees for review. The Senate will discuss NSA surveillance after recess.

The Energy and Commerce Committee is scheduled to vote on 21st Century Cures Wednesday, possibly including an amendment that would make changes to the 340B Drug Pricing Program.

House votes on defense and late-term abortions, while the Senate votes on the trade bill, faces pharma pressure on biologics. Health committees review 21st Century Cures and Medicare patients' chronic conditions.

The Senate takes up the House-passed budget resolution. Both the House and Senate are focused on medical innovation as the next major health push.

Congress plans for a final vote on a FY 2016 budget resolution, and House and Senate committees will review medical innovation initiatives.

Medicaid and Medicare reform remain a part of budget discussions as Congress continues work toward bicameral budget resolution. Committees review opioid abuse and medical device tax.

Congress will consider SGR legislation and a final budget resolution. Health committees will hold hearings on medical device tax, post acute care, Medicare appeals and audits, and the Affordable Care Act.

The Senate will vote on the SGR measure after a two-week recess. Both chambers also passed budget legislation before adjourning.

Congress will attempt to pass SGR and budget legislation by Friday. The SGR package includes a one-year delay of Medicaid DSH cuts. House Committees will hold hearings on 340B, heroin and prescription drug abuse, and Medicare Fraud. The Senate HELP Committee will hold a hearing on patient research.

The House's bipartisan bill will face a tough road in the Senate. Budget negotiations are also under way, to be completed this month.

Senate HELP Committee to examine changes that could improve FDA process without compromising safety

Congress must pass a homeland security spending bill this week, and health insurance marketplaces are under scrutiny as oral arguments in the King v. Burwell Supreme Court case begin.

Slow week for health care work as Department of Homeland Security funding demands lawmakers' attention

Including trauma and drug-related bills, CHIP funding extensions, and homeland security

Plus, senators are concerned with the CMS rating system for Medicare Advantage plans.

The budget would extend Medicaid DSH cuts another year and reduce Medicare payments for outpatient services, medical education, and bad debt, among other threats to essential hospitals.

Also on tap is a Senate vote on homeland security funding that would bar legal status for undocumented immigrants and President Obama's 2016 budget

Also under consideration is legislation addressing human trafficking, immigration, and border security

Obama delivers annual address; House considers an abortion ban, natural gas permits, and SGR; and Senate considers the Keystone Pipeline and definition of full time.

Congress meets this week to pass Keystone Pipeline legislation and Homeland Security funding, considers immigration and veterans' mental health.

Congress convenes with a new Republican majority in the Senate. The House will vote on the ACA 40-hour work week, veterans legislation and the Keystone pipeline. The Senate will elect committee chairs.