President Biden’s Executive Order Protecting Access to Reproductive Health Services

Two weeks following the Supreme Court’s Dobbs decision overturning Roe v. Wade, President Biden released an executive order (EO) mapping his administration’s planned response. The EO directs the U.S. Department of Health and Human Services (HHS) and other federal agencies to undertake actions to protect health care service delivery and promote access to reproductive health care services, including contraception and abortio...
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Biden Administration Outlines Comprehensive Equity Action Initiatives

Several hours after taking the oath of office, President Joe Biden signed an executive order directing the federal government to advance racial equity and support for people of color and others who have been historically underserved, marginalized, and harmed by persistent poverty and inequality. The order affected more than 90 federal agencies, including the Department of Health and Human Services (HHS) and the Department of Housing and Urban Development (HUD). Each agency then assessed whether its programs and policies perpetuate systemic barriers to opportunities and benefits for people of color and other underserved groups, and whether new policies, regulations, or guidance documents will be needed to advance equity. These assessments informed the development of Equity Action Plans, released by the White House last month, that outline concrete strategies and commitments to address systemic barriers across the federal government....
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Biden Lays Out His Health Policy Agenda

When President Joe Biden delivered his first State of the Union (SOTU) address to the nation recently, it was intended to tout legislative accomplishments and present his policy priorities and solutions. With Biden’s approval rating currently around 42%, the SOTU provided the president an opportunity to build public confidence in the administration’s ability to govern and address ongoing challenges — primarily the COVID-19 pandemic, the Russian invasion of Ukraine, and rising inflation. Throughout the March 1 speech, the president highlighted an array of health-related priorities, including proposals in the Build Back Better Act (BBBA) (H.R. 5376) currently stalled in the narrowly divided Senate. He discussed the administration’s updated COVID-19 response, measures to lower the cost of prescription drug prices and Affordable Care Act (ACA) coverage, strategies to address the mental health crisis, plans to improve the quality of care at nursing homes, and his renewed Cancer Moonshot initiative....
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Avoiding the Cliff: Medicare Coverage of Telemental Health and the End of the PHE

The end of the COVID-19 public health emergency (PHE), currently scheduled for April 16, will affect the continuation — or expiration — of temporary Medicare flexibilities, including the expansion of telehealth. During the pandemic, Medicare beneficiaries have had access to a wide range of telehealth services, including telemental health, and uptake has increased substantially. Unfortunately, once the PHE ends, the authority for these flexibilities will no longer be in effect, meaning that many beneficiaries will lose access to services. Federal action to temporarily extend the current telehealth waivers would allow policymakers time to study whether they should make permanent changes regarding telemental health care coverage....
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Bolstering the Public Health Infrastructure in the Wake of COVID-19

The COVID-19 pandemic has highlighted the impact of the chronic underfunding of the U.S. public health system. Despite research showing that investing in public health leads to better outcomes and calls for greater investment in public health, per capita spending before the pandemic totaled less than 3 percent of total health care spending. Here we describe federal policies currently under consideration as part of the Build Back Better Act (BBBA) that could address these concerns....
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Key Provisions of Drug Pricing Proposals

As federal attention begins to turn again to the cost of prescription drugs, the 117th Congress has introduced and reintroduced a number of bills aimed at drug pricing reform. The provisions included in the current slate of bills mirror those that appeared in the previous legislative session, and would seek to reduce drug prices by enacting changes along the following dimensions: Drug price negotiation; Medicare Part D redesign; Medicare Part B and Part D inflation rebates; international mechanisms; generic drug promotion and anticompetitive behavior; and manufacturer reporting....
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Prospects for Drug-Pricing Reform Under a Biden–Harris Administration

The Biden administration has put forward a new slate of policy priorities, but one remains from the prior administration: prescription drug pricing. Despite many attempts, the Trump administration largely failed to deliver sweeping drug-pricing reform. President Biden has set out to enact similar reforms for lowering drug costs and can capitalize on a Democratic majority in Congress. However, the administration may need to rely on a patchwork of policies, rather than comprehensive legislation to rein in drug prices....
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Support for States’ COVID-19 Response Efforts in the American Rescue Plan

On March 11, 2021, President Biden signed the American Rescue Plan Act of 2021 (ARP) (P.L. 117-2) — the latest COVID-19 relief package and first one enacted by the current administration. Committing nearly $1.9 trillion, the law provides relief to American families that have lost jobs or lack affordable health insurance coverage during the pandemic. It also provides significant funding for states’ pandemic response efforts — something missing from previous relief measures — and for Medicaid programs....
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What Are the Biden Administration’s Health Policy Priorities?

When it comes to health policy, the fledgling administration of President Joe Biden and Vice President Kamala Harris hit the ground running. The White House has issued more than 20 health-related executive orders so far. While the administration’s top priority is to address COVID-19, there are many other key health policy areas in which significant changes might occur. These include stabilizing and building upon the Affordable Care Act (ACA), removing obstacles to health equity, and limiting drug prices....
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Advancing the Public Option in 2021: Leveraging Existing Federal Authority to Assist State Efforts

Having consistently placed a federal public option at the core of his campaign’s health care platform, President-elect Biden will seek to deliver on this promise after he takes office. The term “public option” holds different meanings for different audiences, but usually refers to a new form of health insurance coverage that presents an alternative to existing commercial plans and includes a stronger government role in oversight and administration. The goal is to expand access to quality, affordable coverage...
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What’s Next for Health Care Policy Under a Biden Administration

When President-elect Joseph R. Biden Jr. is sworn into office in January 2021, he will bring an ambitious health care agenda in the face of a thinly divided Congress. While control of the US Senate remains uncertain, we can begin to draw some conclusions about how President-elect Biden will prioritize the various aspects of his platform, the means by which he may pursue them, and their probability of enactment....
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Investing in Providers During the Pandemic: How Have Federal Dollars Been Distributed?

The COVID-19 pandemic has wreaked havoc on the U.S. economy and put countless businesses at risk of failure. The health care industry has been hit particularly hard because of drops in revenue driven by decreases in elective care, stay-at-home orders, and the costs of preparing for a pandemic, such as increasing hospital capacity and purchasing personal protective equipment. Recognizing these challenges, and the critical role the industry plays, Congress and the U.S. Department of Health and Human Services (HHS) acted quickly to support the health care system and frontline workers in three primary ways: provider relief funds, the Paycheck Protection Program, and the Medicare Accelerated and Advance Payment Program....
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