Big question for me is how hospitals regroup after the loss on provider taxes. The provider tax cut doesn't start to phase down in 2028. I am sure they will push to get an extension in the coming years. But will they be successful?

THE FINAL VOTE ON THE BIG BEAUTIFUL BILL ACT BEGINS!

After Johnson signs the bill YMCA starts blaring over the speakers.

New from me and Kelly Hooper: Why republicans can't quit Medicaid cuts. politico.com/news/2025/07/0…

The megaLAW has a big coda: A sharp cliff for tax cuts and safety-net restrictions that future Congresses will have to fight over. Benjamin Guggenheim politico.com/news/2025/07/0…

I wrote about a very 2025 DC dillemma: An Elderly Lawmaker’s Staff Keeps Walking Back Things She Tells Reporters. Should They Keep Quoting Her? politi.co/4eHIHPq

New: Tariff letters are going out today to a grab bag of U.S. trading partners including Japan, South Korea, Myanmar and Kazakstan. It's a list of countries the admin believes it hasn't "received meaningful engagement from," a WH official told me. politico.com/news/2025/07/0…

Hospitals lost bigly in the big beautiful bill. But the war may not be over. New from me David Lim and Amanda Chu on how hospitals strike back. politico.com/news/2025/07/1…

"High among his goals, he said, is reducing reimbursements to hospitals through a site-neutral payment system that pays the same rate whether a procedure is done at a clinic or doctor’s office."

New in Pulse today: Health insurers are facing a spate of federal policy changes that threaten widespread coverage losses. The "inevitable result" is higher premiums, insurers say. politico.com/newsletters/po…

Hawley bill - Repeal provider tax cuts and state directed payment changes that could hit Medicaid - $50B more to rural hospitals "Now is the time to prevent any future cuts to Medicaid from going into effect" hawley.senate.gov/hawley-introdu… Reconciliation passed 2 weeks ago

OMB director Russ Vought told reporters that PEPFAR cuts will not be included in the rescissions package

New from Sophie Gardner: Tribal leaders are starting to have doubts if HHS Secretary RFK Jr. will improve quality of health for tribes after Trump's budget only marginally boosted funding to IHS. politico.com/news/2025/07/1…

Scoop: Several outside lawyers recently warned President Trump that a new strategy to remove Fed Chair Jerome Powell over the central bank’s $2.5 billion renovation project is on shaky legal ground, people familiar told me. w/ Victoria Guida Jake Traylor politico.com/news/2025/07/1…

New from me and Ruth in POLITICO Pulse today: CMMI is on a hiring spree looking for about 100 people to help with an aggressive rollout of new payment models. politico.com/newsletters/po…

'Over the next decade, the megabill Trump signed on July 4 would increase the federal deficit by $3.4 trillion and cause 10 million people to lose health insurance, the Congressional Budget Office forecasts.' Jennifer Scholtes Robert King Benjamin Guggenheim politico.com/news/2025/07/2…

News - House GOP leaders CANCEL Thursday votes after they lost full control of the floor over Epstein crisis Last votes before lawmakers leave for recess will be 3:30pm tomorrow

After more than 9 months at the bargaining table, management has finally given us counter proposals on overtime and wages! While we’re excited to make progress negotiating our first contract, management’s proposals leave us with a lot of questions.

Trump will make a fresh push today to improve Americans’ access to their own medical records, tasking ~60 health & tech cos. with solving the issue. Yet the plan relies on a voluntary private sector pledge, raising Qs about what it can actually accomplish cnn.com/2025/07/30/pol…

Honestly, a few daytime High Noons might be what the Senate needs right now