After 28 hours of deliberation including a marathon Rules Committee meeting that saw more than 500 proposed Democratic amendments, the House of Representatives, early in the morning of May 22, passed the One Big Beautiful Bill Act (H.R. 1) (the Reconciliation bill).

The bill in its final form is certainly big, clocking in at over 1000 pages long and including a 42 page “manager’s amendment” with detailed editing instructions for changes that were needed to pass the bill both through the Rules Committee and through the full House. But is it beautiful? That, as the say, is in the eye of the beholder.Continue Reading Breaking down the Health Care Impacts of the One Big [Reconciliation] Bill

On July 15, 2008, the House and Senate overrode the President’s veto of H.R. 6331, the  “Medicare Improvements for Patients and Providers Act of 2008” (MIPPA).  The law rescinds a 10.6% cut in physician payments and delays a controversial medical equipment competitive bidding program, both of which went into effect July 1, 2008, and makes numerous other Medicare and Medicaid policy changes. The vote was 70-26 in the Senate and 383-41 in the House, following the President’s veto earlier in the day.
Continue Reading MIPPA: Medicare Physician Payment/DMEPOS Bidding Delay Legislation Enacted

On June 30, 2008, President Bush signed into law a supplemental appropriations bill (H.R. 2642) that provides emergency funding for the Iraq and Afghanistan wars and a number of domestic priorities. Among other things, the new law, P.L. 110-252, imposes a moratorium on implementation of a number of Medicaid regulations through April 1, 2009. 

On June 19, 2008, the House of Representatives approved a modified version of emergency Iraq and Afghanistan appropriations legislation (H.R. 2642) that also includes funding for a number of domestic priorities. Among other things, the bill would extend a current moratorium on implementation of certain Medicaid regulations and block additional rules through April 1, 2009.