Senators of both parties and House Republicans last week began elections for leadership positions in the 116th session of Congress; after the Thanksgiving holiday, lawmakers will continue work to approve a spending bill by Dec. 7.

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.

Senate Finance Committee leadership sent a letter to stakeholders requesting information on Medicare and Medicaid policy options that could be used to combat the opioid epidemic.

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.

Both the House and Senate versions of the bill contain several provisions of concern to essential hospitals. This Action Update details the status of these issues in both versions.

Senate legislation does not include a delay of Medicaid disproportionate share hospital cuts. Contact your senators today and insist they take immediate action on legislation that is consistent with the House package and includes at least a two-year delay of disproportionate share hospital cuts.

The harmful payment reduction was included in the 2018 Outpatient Prospective Payment System proposed rule, expected to be finalized this fall.

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.

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 voted 51-50 to move to debate on the American Health Care Act; we urge all hospitals to continue to weigh in with their Senate offices this week.

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.

A vote to consider Affordable Care Act repeal legislation is expected July 25; call your senators and urge them to reject the latest repeal plan.

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.

We encourage members to take this new opportunity to weigh in with your senators and remind them that the changes to the BCRA are wholly insufficient.

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

As senators return home through July 9, our members have an ideal opportunity to contact them and urge them to oppose the Better Care Reconciliation Act.

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

CBO found the bill would lead to 22 million fewer insured and cut more than $772 billion from Medicaid over 10 years; Republican leaders will delay vote until after July Fourth recess.

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.

We urge hospitals with Republican senators to use this time to apply pressure; this might be your last chance to influence the outcome of this vote.

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

Late on Jan. 11, the Senate passed S. Con. Res. 3, the FY 2017 budget resolution, an important first step among several needed to repeal much of the ACA.

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.

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

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.

Congress has increased the debt limit but did not patch the Medicare physician payment system, as physician groups want a full repeal rather than a temporary fix. The Senate Finance Committee has a new chairman, Sen. Ron Wyden (D-OR). Wyden assumed the position after Sen. Max Baucus (D-MT) left to serve as ambassador to China.

Bills were passed in committees last year

America’s Essential Hospitals urged Congress to oppose this proposal

Senate considers extending long-term unemployment insurance, House votes on health care bills Senate considers extending long-term unemployment insurance, House votes on health care bills Senate considers extending long-term unemployment insurance, House votes on health care bills Senate considers extending long-term unemployment insurance, House votes on health care bills Senate considers

Senate Finance Committee marks up legislation to repeal the sustainable growth rate

Congress’ top concern was possible budget agreement

The budget committee continued work on an agreement

Congress narrowly avoids reaching the debt ceiling, gears up for healthcare.gov hearings

Senate reached a deal to end the federal government shutdown

CR was set to expire on Sept. 30

House abandoned plans to vote on a bill to extend the continuing resolution

Senate Conservatives Fund announced plans to actively campaign against Senate Minority Leader

Letter suggests security could be compromised by missed IT system deadlines

ACA hearings focus on health insurance exchange implementation and employer mandate delay

Gang of Eight meets with 50 business lobbyists to encourage pressure on House to pass immigration measure

On law's 20th anniversary, members of Congress say law helps reduce drug costs for hundreds of hospital

In letter, senators demand assurance that exchanges will be self-sustaining

House Republican leaders to meet July 10 to discuss whether to take steps toward immigration bill

Senate passed legislation by a vote of 89-9, sent for vote in the House of Representatives