Morning Briefing
Summaries of health policy coverage from major news organizations
Megabill Amendment That Would Have Helped Rural Hospitals Fails
The Senate voted early Tuesday morning to defeat an amendment sponsored by Sen. Susan Collins (R-Maine) to create a new top marginal tax rate for the nation鈥檚 wealthiest income earners and use the money to double the size of a proposed rural hospital relief fund from $25 billion to $50 billion. Senators voted 22 to 78 against a motion to waive a 60-vote budget point of order against the amendment. (Bolton, 7/1)
Senate Republican leaders are discussing a proposal to expand an enhanced Federal Medical Assistance Percentage (FMAP) matching rate to five states, including Alaska and Hawaii, to get the parliamentarian to sign off the proposal, which could be critical to locking down Sen. Lisa Murkowski鈥檚 (R-Alaska) vote. GOP negotiators are floating a plan to expand the enhanced FMAP rate to North Dakota, South Dakota and Wyoming 鈥 in addition to Hawaii and Alaska 鈥 and recalculating the formula for higher federal assistance so that it is based on states鈥 population density, according to a Senate source briefed on the discussion. (Bolton, 6/30)
Republican Sens. Susan Collins (Maine) and Lisa Murkowski (Alaska) on Monday sided with Democrats who were trying to strike a provision from the GOP鈥檚 megabill that would bar Planned Parenthood health centers from receiving Medicaid funding for services provided to low-income women across the country. The two were the only Republicans to vote for a motion to waive a budget point of order against an amendment to remove the provision. (Bolton, 6/30)
Senate Parliamentarian Elizabeth MacDonough advised Monday that language that would block Planned Parenthood from Medicaid funding eligibility would be permissible for inclusion in the sweeping budget reconciliation bill, a major blow for the nation鈥檚 largest provider of reproductive services. (Raman, 6/30)
President Donald Trump鈥檚 allies love to talk about the food we鈥檙e eating here in the US: too sugary, too processed, too artificially dyed. What they鈥檙e not talking about, though, is how many Americans don鈥檛 have enough of it, whether it鈥檚 healthy or not. If the Republicans get their way, the number of them will only go up. Exactly how the right-leaning majorities in the House and Senate will cut the Supplemental Nutrition Assistance Program, more commonly known as SNAP, is being negotiated. But their intentions are clear: Shrink its reach, reduce the benefits of the people still on it, and leave it to the states to take the blame. (Shanker, 6/30)
House fiscal hawks are looking at the math underlying Senate Republicans鈥 sprawling domestic policy legislation, and they don鈥檛 like what they see. As Senate Republicans try to muscle President Donald Trump鈥檚 鈥渂ig, beautiful bill鈥 for final passage, they鈥檙e on track to violate a budget framework brokered between House fiscal hawks and Speaker Mike Johnson. Under that framework, if the GOP piles on tax cuts over $4 trillion, they鈥檇 need to match them dollar-for-dollar with additional spending cuts beyond the $1.5 trillion in the House-passed bill. (Guggenheim, 6/30)
A massive legislative package Senate Republicans are trying to pass this week would hurt the lowest-earning Americans financially while boosting the incomes of wealthier households, according to a Yale Budget Lab analysis issued Monday. The 鈥淥ne Big Beautiful Bill Act鈥 would reduce income by 2.9% (about $700) for the bottom 20% of households, according to the Yale analysis. These households have an income of less than $13,350, it said. (Iacurci, 6/30)
Elon Musk said Monday he would follow through on threats to establish a third party if President Donald Trump鈥檚 鈥渂ig, beautiful bill鈥 is enacted by Congress. Musk said on X his 鈥淎merica Party will be formed the next day鈥 after its passage. He posted as the Senate moved closer to a final vote on what he called an 鈥渋nsane鈥 domestic policy bill. (Svirnovskiy, 6/30)