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An RFK Jr. double header and a very long Medicaid markup

May 15, 2025
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Washington Correspondent, D.C. Diagnosis Writer

Spare a thought for the House lawmakers and staff on two committees who suffered through markups that ran through the night. The Energy and Commerce Committee started at 2 p.m. on Tuesday and ended around 4 p.m. on Wednesday. Tip jar: John.Wilkerson@statnews.com or over Signal at John_Wilkerson.07.

HHS

GOP tests waters at RFK Jr. hearing

Republicans on the House Appropriations Committee lauded the Make America Healthy Again movement on Wednesday while pushing back ever so gently against peripheral policies during HHS Secretary Robert F. Kennedy Jr.'s first testimony in the House since taking office. 

Lev Facher and Daniel Payne did a great job capturing the tone of the hearing. There was the dentist lawmaker who questioned HHS' actions against fluoride, a member with "snack manufacturers" in his district who is uncomfortable with Kennedy's opposition to food dyes, and a Louisiana representative concerned about the underrepresentation of women in biomedical research. 

Read more of the superb analysis by Lev and Daniel.


hhs reorganization

RFK Jr. tests lawmakers' patience

After his House hearing, Kennedy traversed the Capitol to testify before the Senate health committee. Chair Bill Cassidy (R-La.) requested several weeks ago that Kennedy testify on the sweeping changes across the federal health agencies he oversees.

Daniel and Isabella Cueto give an overview of how the day went for Kennedy. The hearings were at times combative. The secretary swung between defending sweeping changes at his agency and backtracking on aspects of a reorganization he nevertheless said would be "painful." 

The hearings laid bare the consequences of Kennedy's Make America Healthy Again agenda and tested lawmakers' willingness for further layoffs, even among Republicans. Read more about some of the questionable claims Kennedy made and his exchanges with lawmakers.



 

breakthrough summit west

Split screen

While Kennedy was testifying in Washington, former FDA Commissioner Robert Califf was responding in real time at STAT's Breakthrough Summit West conference.

Kennedy told House Appropriations Committee members that his opinions about vaccines are "irrelevant" and that it's not his job to give medical advice.  

"His opinions are not irrelevant," Califf said. "He is the leader of Health and Human Services in the United States of America. That's the most powerful position in the world for health advocacy."


medicaid

Here we go again

The projected number of people who would lose their health insurance under the Republican's health care agenda is nearing levels not seen since the GOP tried to repeal the Affordable Care Act in 2017

Republicans say they're only targeting people on Medicaid who shouldn't be eligible. And the circumstances now differ from 2017. Back then, ACA repeal was the agenda. This time, health care reform, specifically federal funding cuts to Medicaid, is merely a way to help pay for tax cuts.

But that might be cold comfort to lawmakers who recall the bruising fight over the ACA repeal. Republicans lost that fight, then paid for it in the following midterm election. Also, people on Medicaid are now increasingly Republican voters. Read more.

 


mental health

Mental imparity

Congress passed a law in 2008 that was supposed to prevent private insurance companies from instituting unequal coverage for mental health and physical health services. It fell short, reports O. Rose Broderick

Multiple federal reports indicated that insurance companies routinely exploited loopholes to avoid paying rates for mental health services that were commensurate with those for other health care. This can lead providers to drop clients and can saddle people with debt. 

HHS and two other federal agencies tried to sew up these loopholes in 2024. But it appears that the agencies' new leadership will walk back these regulatory updates after a lawsuit challenged them. Read more.


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What we're reading

  • Trump wants Europe to pay up for drugs to help lower prices for Americans. It won't be easy, STAT
  • A matchmaking service with a twist: Connecting big givers to programs cut by USAID, NPR
  • Opinion: Why Casey Means could be the right pick for surgeon general, STAT
  • He Became the Face of Georgia's Medicaid Work Requirement. Now He's Fed Up With It, ProPublica

Thanks for reading! More next time,


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