Updates & Analysis

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…

In this update:  Administration Updates White House Replaces Covid-19 Informational Website With Lab Leak TheoryOn April 18th, the Trump Administration replaced the main Covid-19 informational website, covid.gov, with a website arguing the merits of the lab leak theory. The website details the Wuhan Institute of Virology, with its history of gain-of-function research, and the potential…

In this update:  Administrative Updates OMB Outlines Mass Reorganization of HHS in Leaked DocumentOn April 17th, a 64-page PDF was leaked from the Office of Management and Budget (OMB) detailing plans for a mass reorganization of the Department of Health and Human Services (HHS). The document – dated April 10th – includes a header noting…

In this update:  Administration Updates Several Battles Continue Over NIH Grants and ContractsOver the past week, funding battles continued over the future of National Institutes of Health (NIH) grants and contracts:  Legislative Update House Passes Budget Blueprint On April 10th, the House of Representatives passed a budget resolution by a vote of 216-214, after delays due…

In this update:  NYS and NYC Opportunities OMH Releases RFP for HBCI Services for Individuals with I/DD On April 3rd, the New York State (NYS) Office of Mental Health (OMH) released a Request for Proposals (RFP) for pilot Home Based Crisis Intervention (HBCI) teams that will serve youth with co-occurring mental health disorders and intellectual and/or…