Health Care Reform a Common Focus in State of the State Addresses

Governors from 40 states have delivered their State of the State addresses so far this year, with the majority of the state leaders using the opportunity to outline substantive healthcare-related proposals, including those to address prescription drug costs, address surprise billing, and providing greater access to mental and substance abuse treatment. New York Governor Andrew Cuomo (D) requested additional authority from state lawmakers to lower prescription drug costs. Cuomo, along with Connecticut Governor Ned Lamont (D) and New Mexico Governor Michelle Grisham (D), also expressed support for the importation of prescription drugs from Canada. Capping the cost of insulin, specifically, is a policy that was endorsed by Cuomo, Kentucky Governor Andy Beshear (D), and Wisconsin Governor Tony Evers (D). Gov. Grisham also stated that she supports measures to cap out-of-pocket costs for patients with diabetes, asthma, chronic obstructive pulmonary disease (COPD), and other chronic conditions. In New Jersey, Governor Phil Murphy (D) pitched the establishment of an Office of Health Care Affordability and Transparency and promised to direct regulators to begin tracking health care costs. He also discussed the need to better integrate behavioral and physical health care, especially in light of the opioid crisis. Similarly, Cuomo said he will direct regulators to create a cost and quality comparison website for various health care procedures and providers in his state. Michigan Governor Gretchen Whitmer (D) plans to set up a task force to handle prescription drug price transparency and health care costs, while Indiana Governor Eric Holcomb (R) promised to create an all-payer claims database. Holcomb also proposed to require that providers give patients a cost estimate at least five days in advance of a treatment or procedure. Governor Gavin Newsom (D) in California plans to ask state lawmakers to make it easier to compel homeless people in need of treatment to receive community-based outpatient care, and asked for increased funding to allow California’s Medicaid program to help enrollees find housing. Wisconsin Governor Evers proposed efforts to improve mental health services for farmers, and Tennessee Governor Bill Lee (R) announced the expansion of a mental health program for school aged children. Lee also called for a new mental health trust fund to support mental health services in the most at-risk schools.

HHS Personnel Update

Jeet Guram has left the Centers for Medicare and Medicaid Services (CMS) to serve as an advisor to Commissioner of Food and Drugs Stephen Hahn on drugs and tobacco. Guram has worked as a senior advisor to CMS Administrator Seema Verma since 2017. Tim Solberg has also been brought on as a senior advisor by Commissioner Hahn. Solberg will focus on issues related to medical devices. He most recently worked as the Vice Chairman of the Division of Medical Physics in the Radiation Oncology Department at the University of California, San Francisco.

Upcoming Congressional Hearings and Markups

Senate Appropriations Subcommittee on the Department of Homeland Security hearing “FY 2021 budget for the Department of Homeland Security;” 10:00 a.m., 138 Dirksen Bldg.; February 25

Senate Appropriations Subcommittee on the Departments of Labor, Health and Human Services, and Education hearing “FY 2021 for the Department of Health and Human Services;” 10:30 a.m., 124 Dirksen; February 25

House Appropriations Subcommittee on Labor, Health and Human Services, and Education hearing “Department of Health and Human Services Budget Request for FY 2021;” 9:30 a.m., 2358-C Rayburn Bldg.; February 26

House Energy and Commerce Subcommittee on Health hearing “The Fiscal Year 2021 HHS Budget and Oversight of the Coronavirus Outbreak;” 1:30 p.m., 2123 Rayburn Bldg.; February 26

House Appropriations Subcommittee on the Department of Homeland Security Member Day; 2:30 pm, 2008 Rayburn Bldg.; February 26

House Veterans’ Affairs Committee hearing “U.S. Department of Veterans Affairs Budget Request for FY 2021;” 10:00 am., 210 Capitol; February 27

House Budget Committee hearing “Budget Priorities: Members’ Day;” 10:00 a.m., 210 Cannon Bldg.: February 27

House Ways and Means Committee hearing “Proposed FY 2021 Budget with Health and Human Services Secretary Azar;” 10:00 a.m.,1100 Longworth Bldg.; February 27

House Appropriations Subcommittee on Military Construction, Veterans Affairs, and Related Agencies hearing “Oversight of VA’s Electronic Health Record Modernization Implementation;” 1:00 p.m., 2358-C Rayburn Bldg.; February 27

House Appropriations Subcommittee on State, Foreign Operations, and Related Programs Member Day; 2:00 p.m., HT-2 Capitol; February 27

House Foreign Affairs Subcommittee on Asia, the Pacific, and Nonproliferation hearing “Coronavirus Disease 2019: The U.S. and International Response;” 2:00 p.m., 2172 Rayburn Bldg.; February 27

House Appropriations Subcommittee on Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Member Day; 10:00 a.m., 2362-A Rayburn Bldg.; March 3

Senate Health, Education, Labor and Pensions (HELP) Committee hearing “to examine an emerging disease threat, focusing on how the United States is responding to COVID-19, the Novel Coronavirus;” 10:00 a.m., 430 Dirksen Bldg.; March 3

House Appropriations Subcommittee on State, Foreign Operations, and Related Programs Public Witness Day ; 8:30 a.m., location TBA; March 12

House Appropriations Subcommittee on Defense Member Day; 9:00 a.m., H-140 Capitol; March 12

Recently Introduced Health Legislation

H.Res.860 — Recognizing the rise of cardiovascular disease as the world’s leading cause of preventable death and disability and as a global public health crisis and supporting the recognition of February 2020 as “American Heart Month”; Sponsor: Rep. Smith, Christopher H. [R-NJ-4]; Committees: House - Foreign Affairs; Energy and Commerce

H.R.5916 — To require providers of health care products and services to publicly disclose point-of-sale cash prices; Sponsor: Rep. Gallagher, Mike [R-WI-8]; Committees: House - Energy and Commerce

February 24, 2020: | Page 1 Page 2



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