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Morning Briefing

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Monday, Oct 25 2021

Full Issue

What's In, What's Out? Democrats Slash Programs To Near Spending Deal

House Speaker Nancy Pelosi says that her party is inches away from wrapping up negotiations.

House Speaker Nancy Pelosi (D-Calif.) said Democrats are on the verge of an agreement on a social spending bill and also plan to vote on a separate $1.2 trillion bipartisan infrastructure bill this week. 鈥淚 think we鈥檙e pretty much there now,鈥 Pelosi said on CNN鈥檚 鈥淪tate of the Union鈥 on Sunday, when asked whether President Biden would 鈥渉ave a deal in hand鈥 on his 鈥淏uild Back Better鈥 agenda before he travels to Europe later this week. 鈥淲e鈥檙e almost there. It鈥檚 just the language of it.鈥 (Wang, 10/24)

President Biden huddled with key Democrats on Sunday to iron out crucial spending and tax provisions as they raced to wrap up their expansive social safety net legislation before his appearance at a U.N. climate summit next week. Speaker Nancy Pelosi of California said Democrats were close to completing the bill, displaying confidence that the negotiations over issues like paid leave, tax increases and Medicare benefits that have bedeviled the party for months would soon end. (Edmondson and Cochrane, 10/24)

Democrats assess their legislative priorities 鈥

Democrats are making big sacrifices to slash the price tag of their social spending bill from $3.5 trillion to roughly $2 trillion as they close in on a deal that can satisfy both the party's moderate and progressive factions. Promises like free community college are dead altogether. Dreams of paid leave and expanding Medicare to cover dental, vision and hearing are at risk. Originally permanent expansions of Medicaid and the Child Tax Credit will now run for as little as one year. (Scholtes, Levine and Miranda Ollstein, 10/25)

Democrats are haggling over whether to drop two of the most popular elements of their social spending bill as negotiations reach the zero hour, according to a half-dozen sources close to the discussions. While high-level talks on the $1 trillion-plus package are ongoing, lawmakers, staffers, advocates and lobbyists said that a plan to expand Medicare with dental, vision and hearing benefits for tens of millions of seniors 鈥 as well as a pitch to guarantee paid family and medical leave to all U.S. workers 鈥 is now in danger of getting cut from the bill entirely. (Caygle, Ollstein, Mueller and Levine, 10/23)

As drug pricing talks in Congress heated up this week, Democrats negotiated in earnest to get skeptics of their drug pricing policies on board. With crunch time approaching for talks on a major legislative package containing the cornerstone of President Biden鈥檚 domestic agenda, drug pricing policy remained unresolved as lawmakers scramble to get consensus on a complicated, contentious issue.聽Rep. Scott Peters (D-Calif.) is involved with the negotiations, said sources following the talks.聽(Cohrs, 10/22)

Progressives are gaining traction in a bid to preserve housing funding in Democrats鈥 $2 trillion social spending package, after negotiators earlier floated plans to slash the aid by two-thirds. Democratic lawmakers and White House officials on Friday were considering devoting between $150 billion and $175 billion of the bill to housing, according to three sources familiar with the discussions. While it would be a major cut from the $327 billion that was initially proposed, it鈥檚 up from the $100 billion level that was on the table earlier this week. (O'Donnell and Cassella, 10/22)

In other news from Capitol Hill 鈥

Twitter Inc. suspended Representative Jim Banks鈥 official account for calling Dr. Rachel Levine, the Assistant Health and Human Services Secretary, a man. Banks, a Republican from Indiana and a top conservative in the House of Representatives, violated Twitter鈥檚 terms of service, which bars users from harassing people based on their gender identity. He made the comment in a tweet referencing that Levine, a transgender woman, would be sworn in as a four-star admiral in the U.S. Public Health Service Commissioned Corps. Levine will be the first woman to reach that rank. (Allison, 10/24)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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