House will focus on PBMs, data privacy in 2023


You already knew it was going to be an oversight-heavy 12 months within the Home, however there are additionally some areas the place well being care laws might transfer forward with a slim Republican majority.

  • The most important is PBM transparency, which may even be a spotlight within the Senate — however well being care prices and knowledge privateness are prone to high the agenda, too.

This is what aides and lobbyists instructed us to anticipate:

1. PBMs. We’ve heard it will completely be a scorching subject within the 2023 Congress in each chambers.

  • An Power and Commerce aide confirmed in December that the committee will revisit PBM transparency. So will the Oversight Committee. And search for Rep. Buddy Carter to launch his bipartisan caucus centered solely on PBM reform this month.

2. Well being care prices. Rep. Cathy McMorris Rodgers, incoming Power and Commerce chair, desires to extend worth transparency in well being care to convey down prices, a committee aide mentioned.

3. Information privateness. Power and Commerce additionally put fairly a bit of labor final 12 months into crafting a bipartisan knowledge privateness invoice, which has the opportunity of being reintroduced this session.

  • The American Information Privateness and Safety Act would have created a nationwide commonplace round defending individuals’s info — together with delicate well being particulars and geolocation knowledge, which turned a scorching subject after Roe being overturned and issues about individuals being criminally charged for accessing abortions.

4. Fentanyl. Easing the fentanyl disaster will probably be one other Power and Commerce point of interest, a GOP committee aide mentioned.

  • McMorris Rodgers desires to completely designate fentanyl analogues as Schedule 1 medication and conduct oversight on tech corporations’ function within the disaster. (Some Democrats have opposed previous makes an attempt to completely schedule the substances.)

What else we’re watching: Conversations round reforming Medicare funds to physicians might ramp up this 12 months. Home lawmakers collected suggestions on the best way to reform the system final 12 months, and now’s the time to strengthen value-based care applications, one other GOP aide mentioned.

Do not anticipate these matters to get a lot consideration straight away. All three of the health-related payments within the ground schedule Steve Scalise launched for the primary two weeks are centered on abortion.

  • They might make the Hyde Act everlasting, condemn assaults on pro-life amenities and defend infants born alive after an tried abortion.

  • However as soon as these votes are out of the way in which, the trail will probably be clear for the opposite well being care priorities that may take a little bit longer to work their method by way of the method.

The oversight agenda will take time, too. Investigations might embody drug pricing, 340B reductions, vaccine and lab security, antimicrobial resistance, the Biden administration’s household glitch repair, shock billing implementation and extra, GOP aides instructed Axios.

  • The Home Oversight Committee may even have hearings on COVID-19 origins, pandemic reduction spending and nursing properties underneath former New York Gov. Andrew Cuomo, Oversight communications director Jessica Collins instructed Axios.
  • The Oversight Committee will proceed to deal with a choose subcommittee on the coronavirus pandemic, simply with a brand new deal with the origins of the virus, in response to the Republican guidelines package deal.
  • Count on Republicans to additionally conduct oversight into implementation of the drug pricing provisions of the Inflation Discount Act.

Between the strains: We anticipate few sweeping coverage modifications this 12 months and extra incremental shifts, because the Home is so narrowly divided. Meaning party-line votes will probably be more durable, and laws could have a greater likelihood if it is bipartisan.

  • Living proof: Incoming Power & Commerce Rating Member Frank Pallone pledged in a press release to “aggressively oppose any Republican efforts to undermine” Democrats’ legislative achievements of the final two years.