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On March 11, 2024, the Administration released its FY 2025 budget request. For the Department of Health and Human Services, the President is requesting a 1.7% increase in funding, or $2.2 billion.  Most of these requests cannot happen without Congressional action – so this budget can be considered a road map for the election and beyond.

The daffodils are in full bloom in Washington and Congress and the administration are trying to make the most of the next 2 weeks before taking a break for the Easter holiday. There’s a lot going on in DC, so let’s get to it!
The Administration
All eyes on are the President’s annual budget release which will set out the President’s priorities for the government heading into the November elections.
- Pay attention to what the President is proposing that can be done through Executive Order or regulation vs. what needs Congressional action. While the “dead on arrival” phrase is often used in Washington, some things will be deader than dead, if that’s a thing, but anything the President can do on his own is fair game.
On March 1, President Biden gave his third State of the Union address, leaning into issues that energize the Democratic base and remind viewers and voters of his accomplishments.  For health care, he:
- promised to restore Roe v. Wade as the law of the land, noting how red states have restricted access to IVF
- expressed his desire to extend the Medicare insulin cap at $35/month to those with commercial insurance
- made the case for expanding the number of prescription drugs subject to Medicare negotiations beyond current law
The Senate
The Senate took a victory lap over the weekend by passing a package of 6 bills to fund the government through September, including the Food and Drug Administration. Congress now has 2 weeks to figure out how to fund the rest of the government before the March 22 deadline to avoid a partial government shutdown.
- As an aside, how many times have we typed those words – avoiding a government shutdown – in the last few years? We’ve lost count….
With immigration remaining at the forefront, the next set of bills, including Defense, Homeland Security, and Health and Human Services, won’t come so easily.
For health care, the Senate Finance Committee will host Sec. Becerra for a discussion of the President’s budget on March 14. Yes, there will be partisanship but that isn’t what most interests us….
- Watch for Senators’ priorities as they comment on the budget – this shows what each is championing and what might be able to move forward yet this year.
The House
The House comes back to take up 11 bipartisan bills coming out of the Transportation and Infrastructure Committee under suspension of the rules. But partisan tensions are sure to resume later in the week as the House brings up a resolution denouncing the Biden Administration’s immigration policy.
For health care, the focus is on the committees this week. On March 12, the House Energy & Commerce Committee will be meeting to markup and move 19 bipartisan health-related bills, covering a wide range of issues, including maternal health, dementia treatment, cancer screening and a host of other initiatives. One bill of note that has garnered considerable attention is the “Dr. Lorna Breen Health Care Provider Protection Reauthorization Act” (H.R. 7153), which seeks to raise awareness and provide resources to address the mental health issues facing the health care workforce.
Also, on March 12, the House Ways & Means Committee will hold a full committee hearing titled, “Enhancing Access to Care at Home in Rural and Underserved Communities,” which will include testimony from both patients and providers about the challenges in improving access to in-home care and to modernizing the delivery of care in rural and other underserved communities.
There You Have It
We at Chamber Hill Strategies, are counting down the days:
- 10 days left of winter
- 11 days till the men’s NCAA basketball tourney starts
- 12 days to avoid a government shutdown

Health Care Policy in the 2024 State of the Union Address Â
Heading into election season, President Biden delivered his annual State of the Union Address with a number of familiar health care policy mentions. This blog post focuses on what the President talked about, the implications of those issues for 2024, and the chances of movement on these issues in the current Congress. Â
Inflation Reduction Act Â
President Biden highlighted the passage of the Inflation Reduction Act (IRA) and the health care provisions in the bill including:Â
- Medicare drug price negotiations,Â
- expanded ACA subsidies, and Â
- the out-of-pocket cap on insulin and other prescription drugs for Medicare beneficiaries. Â
He called for building on this legislation by expanding Medicare negotiation authority to include more drugs, making the expanded ACA subsidies permanent, and extending the out-of-pocket caps to all Americans. President Biden’s focus on these provisions makes sense given polls such as this one from KFF that show Americans are not very familiar with the specifics of the IRA. Â
AbortionÂ
President Biden spoke forcefully about his view that reproductive rights should be protected. Polls, such as this one from KFF, show that the issue is very important as a motivator for the Democratic base and key constituencies. President Biden called for Congress to send him a bill to make Roe v. Wade the law of the land. He also highlighted his opposition to state bans on abortion or efforts to curtail access to services such as IVF. Â
Protecting MedicareÂ
President Biden reiterated his opposition to what he described as efforts to cut Medicare. This portion of the speech elicited jeers from the Republican side of the aisle. As we mentioned in a previous blog, this issue is especially important for older voters, so we expect the President to continue to highlight ways his administration is protecting Medicare, especially in geographical areas with high concentrations of older voters. Â
Hope for BipartisanshipÂ
President Biden did include some areas of health care policy in the 2024 State of the Union where there is strong potential for bipartisanship. For example, the president spoke about:Â
- federal funding for the ARPA-H and Â
- efforts to address concerns about fentanyl. Â
The President also mentioned a new Women’s Heath Research initiative that he will be asked Congress to fund in the coming days.Â
So What? Â
It is difficult to see how Congress can move on any major health care legislation before the election, given the fragile majority Republicans hold in the House and the almost-default requirement for at least 60 votes in the Senate. Â It was certainly important for the President to bring up these ideas given how much voters want to hear from the president and his opponent about their respective health care policy proposals. If there is going to be any movement in Congress on health care policy in this election year, we expect areas of health care policy in the 2024 State of the Union such as federal funding for cancer research and efforts to address concerns about fentanyl to be the areas where any movement occurs. Â
On March 8, 2024, MedPAC commissioners discussed the Acute Hospital Care at Home (AHCaH) program reviewing pros and cons and whether the program should continue. After reviewing data and discussion, Commissioners were generally optimistic about the benefits of the program and thought it should be continued until more analysis can be completed on program efficacy.Â