Billy Wynne

Agency Lays out Implications of Supreme Court Decision on Nationwide Injunctions and Potential Congressional Responses In its June 27, 2025 decision in Trump v. CASA, Inc., the U.S. Supreme Court significantly curtailed the authority of federal courts to issue nationwide injunctions – court orders that prevent the federal government from enforcing laws or policies against…

.4 Percent Increase Proposed for CY 2026 OPPS Payments; Comments Due September 15 The Centers for Medicare and Medicaid Services (CMS) released the Calendar Year (CY) 2026 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System proposed rule (press release, fact sheet). What it is. CMS’ wide-ranging proposed rule affects payments…

Agency Provides Rapid Cycle Innovation Program (RCIP) Overview for CMS Model Participants; Vote on Next Test Topic Due July 25 The Centers for Medicare and Medicaid Services (CMS) hosted a webinar to introduce the Rapid Cycle Innovation Program (RCIP), a voluntary initiative where CMS model participants (like ACO REACH, KCC, and PC Flex ACOs) can…

CY 2026 MPFS Proposed Rule Increases Payment by 3.8% for APM Participants and 3.6% for Non-APM Physicians; Includes Proposals Related to Practice Expenses, Prevention and Wellness, and a Mandatory Model on Heart Failure and Back Pain; Comments Due Sept. 12 The Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2026 Medicare Physician…

Committee Examines Health Care Cybersecurity Threats and Federal Policy Gaps The Senate Health, Education, Labor and Pensions (HELP) Committee held a hearing focused on cybersecurity challenges in the health care sector. Witnesses emphasized critical concerns including the termination of the Critical Infrastructure Partnership Advisory Council (CIPAC), the looming expiration of the Cybersecurity Information Sharing Act…

OBBBA Medicaid Provisions and Timeline for Implementation The One Big Beautiful Bill Act (OBBBA, H.R. 1) was signed into law on July 4, 2025 and includes significant changes to Medicaid ranging from limitations on provider taxes utilized to fund the state portion of Medicaid financing to limitations on enrollment such as new Medicaid work requirements…

Committee Advances President Trump’s Nominee to Lead CDC The Senate Health, Education, Labor and Pensions (HELP) Committee voted 12-11 along party lines to advance Dr. Susan Monarez, President Donald Trump’s nominee to lead the Centers for Disease Control and Prevention (CDC). Dr. Monarez was praised by Republicans for her commitment to transparency and science-based guidance…

HHS Announces Policy Shift to Further Restrict Access to Federal Public Benefits for Non-Citizens, Comments Due Around August 10th The Department of Health and Human Services announced that the Trump Administration is rescinding a previous interpretation of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (PRWORA) made under the Clinton Administration in order to…

Federal Court Orders HHS to Restore Webpages Related to ‘Gender Ideology’; Leaves Path Open for Future Removals Last week, in the case, Doctors for America v. Office of Personnel Management, a U.S. District Court ordered the Department of Health and Human Services (HHS) to restore certain webpages and datasets that had been removed in response…

Oversight Committee Investigates New York’s Medicaid Financing; ACF Opens Applications for TANF Pilot Program Intended to Increase Work Engagement House Oversight Committee Launches Investigation into New York’s Medicaid Funds Use The House Oversight Committee recently launched an investigation into allegations that New York State misused federal Medicaid funds by withholding or reclaiming over $1 billion…