FY 2023 Appropriations:  Status Report

Last week, the House passed a package of six appropriations bills on a party-line vote of 220-207.  Totaling about $405 billion, this is the first legislation either chamber has passed to fund the government beyond September 30.  Included were Transportation-HUD, Agriculture, Energy-Water, Financial Services, Interior-Environment, and Military Construction-VA appropriations.  The Labor-HHS-Education bill referenced in the previous story was passed by the full Appropriations Committee, but not yet the full House.  House Appropriations Chair Rosa DeLauro (D-CT) declined to comment on next steps for the LHHS or other five remaining appropriations bills.

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Congress Prepares for August Recess

Both chambers have been busy as they prepare to leave Washington for the month of August.

Health-related discussions in the House centered on access to contraception and interstate travel for abortions, extending Medicare coverage of some telehealth services beyond the public health emergency, and revamping Medicare Advantage plans' use of prior authorization after a government watchdog found that coverage was sometimes delayed or denied.  The House Energy & Commerce favorably reported out (53-2) H.R. 8152, a bipartisan bill to establish national data privacy standards that would, among other things, require large social media companies to know whether and how their platforms are targeting kids under the age of 17.

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HHS Proposed Rule Would Reinstate Nondiscrimination Health Policy

On Monday, the Biden administration announced that it will roll back Trump-era regulations that allowed discrimination in health care coverage for transgender individuals.  The proposed rule, being prepared for publication now, would align implementation of Section 1557 of the Affordable Care Act with the Obama administration’s interpretation.  Section 1557 prohibits discrimination on the basis of race, color, national origin, sex, age, and disability in federally funded health programs and HHS programs.  The proposed rule will affirm that protections against discrimination on the basis of sex include sexual orientation and gender identity, consistent with the U.S. Supreme Court’s holding in Bostock v. Clayton County, and will reiterate protections from discrimination for seeking reproductive health care services. 

 

Public Health Emergency Extended to Mid-October

On July 15, HHS Secretary Xavier Becerra renewed the declaration of the COVID-19 public health emergency (PHE) which was due to expire that day.  The 90-day renewal extends the PHE through October 13, although that could later be amended to an earlier date.  Secretary Becerra has committed to giving states at least 60 days’ advance notice before the end of the PHE.  If he has not by August 14, we would assume that at least one additional PHE renewal will be issued.

 

President Signs Bipartisan Safer Communities Act

As anticipated, Congress swiftly passed the Bipartisan Safer Communities Act and sent it on to the White House in advance of their Fourth of July recess.  President Biden signed it into law on June 25, setting in motion a range of mental health authorizations and appropriations in addition to a short list of firearms provisions crafted to gain broad bipartisan support.  Funding periods vary for different provisions. 

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