Lawmakers came with big ambitions for 2019, but we are headed into 2020 with two major health policies left on life support and many healthcare programs nearing expiration. There has been much discussion about what policies can inch over the finish line given the political realities facing the House, Senate and White House, and the dwindling clock. Given the elephant in the room (ahem, the House impeachment inquiry), the question remains: What kind of healthcare legislation can lawmakers piece together this year?
That is the analysis we put together below. We looked at the Senate Health, Education, Labor and Pension (HELP) Committee legislation (S 1895), the Senate Finance Committee legislation (S 2543), House Speaker Nancy Pelosi’s (D-CA) prescription drug bill (HR 3), and the various standalone bills that have been approved by the House Energy and Commerce Committee, and identified areas of overlap in provisions related to prescription drug pricing, surprise billing and health extenders. This chart is not a summary of all of the provisions in these bills. Rather, it highlights the policies that appeared in two or more of the four proposals. There is potential for a small package of bipartisan, “low-hanging fruit” proposals to be become law. The areas of overlap below point to those examples. However, costs and potential pay-fors are also a major player in policy negotiation, so we also note any official Congressional Budget Office (CBO) scoring if available.
Several items not listed in the chart below could also come into play. These include:
While the chart below only includes policies that appeared in two or more of the four proposals, there are many other health extenders awaiting action that were not included in any of the four buckets. We believe that the healthcare extenders will get across the finish line by the end of 2019. It just a matter of how long programs are extended and how they are paid for.
Click here for our analysis on healthcare extenders.
Click here for Overlapping Provisions Within Major Healthcare Bills 2019.