NVHPF Considers Impacts of International Reference Pricing in U.S. Drug Pricing Models
On August 27, 2026, the Northern Virginia Health Policy Forum hosted a discussion on the global implications of the United States’ adoption of Most Favored Nation (MFN) drug…
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States Move on PBM Vertical Integration as Congress Weighs Reform
Pharmacy benefit managers (PBMs) have become a major focus of healthcare policy, as policymakers, regulators, and other stakeholders debate the industry’s business practices and models. Congress addressed PBM…
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340B Program Faces New Reimbursement Cuts, Accelerated Clawbacks, and Growing Reform Efforts
In January 2026, Applied Policy reported that the Centers for Medicare & Medicaid Services (CMS) planned to conduct an Outpatient Prospective Payment System (OPPS) Drug Acquisition Cost Survey…
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CMS Begins Building a New Medicare Payment Framework for Diagnostic Software
Provisions in the recently released CY 2027 Outpatient Prospective Payment System (OPPS) and Physician Fee Schedule (PFS) proposed rules indicate that the Centers for Medicare & Medicaid Services…
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DOJ Issues First Healthcare Declination Under New Corporate Enforcement Policy
The Trump administration has made combating healthcare fraud a priority. From the Centers for Medicare & Medicaid Services’ “Medicaid Fraud War Room” to the Department of Justice’s “whole-of-government”…
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As Medicaid Eligibility Requirements Shift, Presumptive Eligibility Could Offer a Path to Coverage Continuity and Financial Stability
Recent federal changes to Medicaid are expected to disrupt coverage for millions of beneficiaries. While some individuals will no longer qualify for Medicaid, others who remain eligible may…
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Congressional Committees and CBO
- U.S. Senate Committee on Finance
- U.S. Senate Committee on Health, Education, Labor & Pensions
- U.S. House of Representatives Committee on Energy and Commerce
- U.S. House of Representatives Committee on Ways and Means
- Joint Committee on Taxation
- Congressional Budget Office: Health Care
Federal Advisory Committees
- Medicaid & CHIP Payment and Access Commission (MACPAC)
- Medicare Payment Advisory Commission (MedPAC)
Relevant Legislation
- Social Security Act Compilation including – Medicare, Medicaid & CHIP laws
- Patient Protection and Affordable Care Act
- Legislative Bill Search
Federal Agencies
- Administration for Community Living (ACL)
- Agency for Healthcare Research & Quality (AHRQ)
- Agency for Toxic Substances & Disease Registry (ATSDR)
- Centers for Disease Control and Prevention (CDC)
- Centers for Medicare & Medicaid Services (CMS)
- Food and Drug Administration (FDA)
- Government Accountability Office
- Health and Human Services Department (HHS)
- Health Resources and Services Administration (HRSA)
- Indian Health Services (IHS)
- National Institutes for Health (NIH)
- Office of the Inspector General, Health and Human Services
- SAMHSA- Substance Abuse & Mental Health Services Administration
