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Congress returns to a jam-packed agenda

April 29, 2025
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Washington Correspondent, D.C. Diagnosis Writer

I finally attended a White House Correspondents' Dinner after being a reporter in this town for longer than I'd like to admit. WaPo called the event "low-wattage," and as White House Correspondents' Association President Eugene Daniels candidly put it, "There's no president, there's no comedian. It's just us." But pomp and circumstance are always interesting, and I hope to do it again. Send your tips to John.Wilkerson@statnews.com or via Signal at John_Wilkerson.07.

congress

Seven questions

Republicans have been putting off the tough decisions on how to pay for President Trump's tax cuts. They can't do that any longer. 

Republicans have a lot to do in short order. There's the budget reconciliation bill that they're using to pass Trump's agenda. There are still health official nominees to confirm, the aftermath of DOGE cuts to deal with, and the need to get to work on next year's budget, not to mention that little matter of HHS Secretary Robert F. Kennedy Jr. being asked to testify on massive layoffs. 

To help you keep track of what's happening, I boiled it down to the seven biggest questions we're watching as Congress gets back to work.


HHs

Five lives

It's difficult to grasp how the upheaval at HHS has affected the lives of federal employees and those outside the government. Careers are upended, labs are closed, and clinical trials for new drugs are interrupted. 

To help make sense of the human toll, STAT staff profiled five lives: the postdoc, the university senior vice president, the health-equity researcher, the lymphoma patient, and the NIH leader. 

The profiles are part of STAT's series on Trump's first 100 days in office. They're well worth the read.



 

cms

The proud penny-pincher running Medicare

Chris Klomp, Medicare's new head, is notoriously frugal, and he's about to apply that thrift to a program that spends more than $1 trillion annually on health care, according to STAT's Mario Aguilar.  

The decisions facing Klomp include whether to rein in abusive coding and denials practices by private Medicare Advantage plans, whether to reform how Medicare pays doctors and hospitals, and whether to pay for expensive weight-loss drugs.

Read Mario's profile for more of what one interviewee called "Chris Klomp cheap-o stories."


vaccines

Injecting uncertainty into shots

FDA is not immune to Kennedy's vaccine hesitancy. That's the overarching message in a pair of stories by Helen Branswell and Lizzy Lawrence.

Over the weekend, FDA Commissioner Marty Makary took to social media to defend the FDA's controversial delay in approving Novavax's Covid-19 vaccine. In so doing, he seemed to imply that the agency might require clinical trials for Covid-19 annual booster shots, which would likely result in drugmakers no longer making booster shots for the virus. 

Helen tried in vain to get HHS to clarify what Makary meant.

Makary's statement is the latest example of the FDA inching toward vaccine criticism, according to experts to whom Lizzy spoke. The agency has been moving in that direction both with its rhetoric and now, potentially, with its approval standards.


tariffs

Device makers find shelter from tariffs

Medical device makers seem to be weathering Trump's trade war so far, reports Bob Herman

There are a few big reasons that this particular sector is faring better than others amid the explosion of tariffs. Many products, including their raw materials, are made domestically. Those that aren't often are exempted from tariffs. And Bob found one company, Intuitive Surgical, that doesn't really face competition for a service that's indispensable to hospitals and surgeons.

Bob listened to several company investor calls so you wouldn't have to. Read his rundown here.


transgender health

Trump poised to issue transgender health report

O. Rose Broderick reports that the Trump administration is set to release a report summarizing what it has done to target the trans community and trans healthcare, including ending 215 health grants totaling more than $477 million, pushing medical professionals to stop using internationally recognized standards of care, and ending federal health benefits coverage for the "mutilation of the children."

Many experts expect the document, announced in an executive order published Monday, to resemble the "Cass Review," a lengthy overview of health care for trans youth in England that has been decried by researchers and advocates for failing to provide an adequate picture of gender-affirming care.

 


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What we're reading

  • With one month to go, few details on RFK Jr.'s MAHA commission, STAT
  • RFK Jr. exaggerates share of autistic population with severe limitations, KFF Health News
  • NIH announces six new acting institute directors, many of them filling posts of ousted predecessors, STAT
  • Colorado will cover abortion for Medicaid patients, state employees as Gov. Polis signs public funding law, The Denver Post

Thanks for reading! More next week,


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