Updates & Analysis

In this update:  Administration Update Trump Administration Transmits HHS Budget Request to Congress On May 30th, the Trump Administration transmitted its Department of Health and Human Services’ (HHS) Budget in Brief with Congressional Justifications to Congress. Overall, the request proposes $94.7 billion in discretionary spending for HHS in fiscal year (FY) 2026, a $32 billion decrease…

In this update:  NYS and NYC Opportunities NYC DOHMH Issues Concept Report for Connect Article 31 Demonstration ProgramThe New York City (NYC) Department of Health and Mental Hygiene (DOHMH) has issued a Concept Report outlining its intent to continue the Connect Demonstration Project. In 2022, DOHMH launched the Connect Demonstration Project in partnership with nine…

In this update:  Legislative Update Joint Committee on Taxation Says Reconciliation Bill Will Add $4 Trillion to Deficit On May 28th, the Joint Committee on Taxation, a non-partisan congressional committee that assists the House and Senate with tax legislation, released its updated cost estimate for the Republican reconciliation bill. The legislation is now expected to add…

As the Republican Party’s so-called “One Big Beautiful Bill Act” moves closer to possible passage, health care stakeholders may be wondering about the answers to questions like: “What are the specific implications of these cuts for me?” and “How can I start preparing without knowing what the final bill will look like?” True to its name, the…

In this update:  Legislative Update House Passes One Big, Beautiful Bill Act On May 22nd, the House passed the “One Big, Beautiful Bill Act” by a vote of 215-214, following a 21-hour Rules Committee markup. House leadership made several last-minute changes to the reconciliation package passed out of the Budget Committee on Sunday night to garner…

Earlier this week, the House Budget Committee narrowly advanced the House Budget Committee Republican package after four Republican holdouts voted “present.” The package will now be presented to the House Rules Committee for consideration followed by the House floor; negotiations in public and private are ongoing. Moderates are expected to challenge the Medicaid cuts, while…

In this update:  Legislative Update House Committees Advance Reconciliation Bills, But Package Fails Budget VoteOn May 16th, the House Budget Committee failed to advance the Republican reconciliation package amid opposition from the caucus’s most conservative members. Budget Chair Jodey Arrington (R-TX) closed the session after the failed vote, noting that the Committee would reconvene next…

On May 11th, the House Energy and Commerce Committee released legislative text for their proposed changes to health care and other policies as part of the anticipated Republican reconciliation bill. The Committee will hold a markup hearing on this bill tomorrow (May 13th) at 2pm ET. A live stream of the hearing and links to the legislative…

In this update:  Administration Updates President Trump Submits Budget RequestOn May 2nd, President Trump submitted his discretionary budget recommendations to Congress for fiscal year (FY) 2026. Presidential budget recommendations largely serve as messaging documents, providing a sense of an administration’s priorities. Congressional appropriators have no obligation to abide by any President’s budget requests. This budget requests…

On May 7th and 8th, the New York State Legislature passed the Enacted Budget covering New York State Fiscal Year (FY) 2026, which runs from April 1, 2025 to March 31, 2026. While the final Budget package has not been delivered as of today (May 9th), Governor Kathy Hochul is expected to sign the bills shortly.…

In this update:  Legislative Update House Energy & Commerce Advances Health Care Legislation On April 29th, the House Energy and Commerce (E&C) Committee marked up and favorably reported six bipartisan health care bills. These bills were also advanced last Congress, but were not enacted. Much of the debate centered around reauthorizing programs housed in the Substance…

We are pleased to announce that as of April 2025, Sachs Policy Group is part of Ankura, the world-leading expert services and advisory firm. With Ankura, SPG is joining forces with more than 2,000 experts and advisors around the world focused on delivering end-to-end solutions to manage conflict, crisis, performance, risk, strategy, and transformation for their…