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Congress clinches bipartisan health deal

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Congressional leaders reached a bipartisan, bicameral health care deal early Tuesday morning they hope lawmakers will pass later this week as part of a four-bill government spending package.

Alongside funding for the departments of Defense, Transportation, Labor, Health and Human Services and Homeland Security through Sept. 30, senior appropriators are proposing a crackdown on drug intermediates known as pharmacy benefit managers, or PBMs.

Lawmakers in both parties and chambers have been working toward reaching a compromise in this policy area for months after a PBM overhaul fell out of the December 2024 government funding bill amid criticism from then-President-elect Donald Trump and billionaire ally Elon Musk.

The health care agreement would extend several public health programs, including major telehealth flexibilities, through the end of 2027. It also would fund, through the end of the fiscal year in 2030, a program run through the Centers for Medicare and Medicaid Services that reimburses facilities for offering hospital-level care in the home.

In a major win for Democrats, the deal would boost funding for community health centers to $4.6 billion for fiscal year 2026. Another provision in the package would allow Medicare coverage for multi-cancer early detection screening tests.

It’s not clear whether conservatives in the House will allow the health care deal to go through. Fiscal hawks are due to balk at the spending increases for various programs, and the framework is silent on many of the policies called for last week by President Donald Trump’s “Great Healthcare Plan” — including expansions to tax-advantaged health savings accounts and certain policies mandating lower drug prices.

In a continued blow for members on both sides of the aisle, the agreement also would not revive enhanced Affordable Care Act subsidies that lapsed at the end of last year and are causing premiums to spike for individuals on Obamacare insurance plans.

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House Transportation chair reveals markup date for highway bill

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House Transportation Chair Sam Graves (R-Mo.) is targeting April 29 as the markup date for the surface transportation reauthorization bill and is negotiating a topline number between $500 and $550 billion, he told Blue Light News Wednesday.

While a final topline number has yet to be agreed on, Graves said he has a ballpark figure.

“I’m gonna say it’s gonna be somewhere in the neighborhood of $550 billion or $500 billion — somewhere in there. That will be our number. We’re still actually — believe it or not — negotiating that,” Graves said.

That $550 billion total number being discussed for what is also known as the highway bill would be a combination of authorizations and contract authority for a five-year span.

If that number holds, the bill would be well below the 2021 bipartisan infrastructure law, which totaled $1.2 trillion, with $550 billion of that going to new federal spending for roads, bridges, transit, broadband, resilience and water infrastructure. Graves has said he wants the upcoming bill to be more traditional than the previous one with more focus on roads and bridges.

He added that he is in active talks with ranking member Rick Larsen (D-Wash.) and that he thinks Larsen “wants a little bit more” in funding. Peter True, a spokesperson for Larsen, confirmed Larsen wants a higher number than $550 billion.

Graves said there will be a registration fee for electric vehicles in the surface bill, a long-sought goal of his. Last year, he succeeded in inserting a $250 registration fee for EVs and $100 for hybrids in the House version of the GOP-led budget reconciliation bill, but those provisions never made it into law. He said the EV fee will be different this time around.

“We lowered it a little bit,” Graves said of the EV fee, though he did not provide an exact figure.

As for a registration fee on hybrid cars, he was less clear: “We’re not sure yet, but yes, probably.”

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DHS shutdown disrupts World Cup planning, officials tell senators

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The Department of Homeland Security shutdown is already undermining federal preparations for the 2026 FIFA World Cup, administration officials warned senators Wednesday — cautioning that the ongoing funding lapse has slowed coordination with state and local authorities and cost the agency hundreds of airport screeners as the U.S. gears up to host one of the largest sporting events in the world.

“It has significantly impacted our operations,” Christopher Tomney, DHS director of the Office of Homeland Security Situational Awareness, told lawmakers at a joint congressional hearing convened by the Senate Appropriations Subcommittees on Homeland Security and Commerce-Justice-Science.

Tomney, who is serving as the federal government’s senior coordinating official for the 2026 tournament, said the shutdown has “hindered our coordination with state and locals” and “reduced our planning efforts.”

He added that “hundreds” of unpaid Transportation Security Officers have quit during the DHS funding lapse: “We just can’t replace that expertise overnight.”

Tomney’s testimony provided the starkest public acknowledgment yet of the DHS shutdown’s impact on the administration’s planning for the World Cup, which will bring millions of fans to 11 U.S. host cities this summer. It also highlighted broader anxieties about whether President Donald Trump’s rhetoric toward foreign visitors could dampen international travel and undercut the economic upside host cities are counting on.

Administration officials insisted the U.S. would be ready no matter what, but senators from both parties pressed witnesses on how the federal government can ensure a safe and welcoming tournament while DHS remains shuttered and key agencies juggle threats ranging from drones to cyberattacks.

On hand alongside Tomney was Douglas Olson, special agent in charge of the FBI’s Portland Field Office and the bureau’s senior coordinating official on the White House task force for the World Cup; and Robert O’Leary, deputy assistant secretary for travel and tourism at the Commerce Department.

Collectively, they sketched out an enormous effort already underway ahead of the 78-match tournament, which will unfold over 39 days and spill far beyond the official host cities into base camps, fan festivals and surrounding communities.

Sen. Katie Britt (R-Ala.), who chairs the Senate Homeland Security funding panel and presided over part of the Wednesday hearing, asked Tomney directly how the 60-day DHS shutdown has affected preparations.

Tomney linked the shutdown to broader strains across DHS, which is expected to shoulder much of the burden for tournament security while also carrying out its regular missions in aviation, border security and emergency response.

Olson told senators that unmanned aerial systems remain one of the most serious concerns heading into the tournament: “The threat is very real. It’s growing,” he said, noting that drones are increasingly easy to acquire and difficult to detect.

Sen. Jerry Moran (R-Kan.), who chairs the Commerce-Justice-Science panel, asked what the federal government is doing to show that the United States is “open” and “welcoming” to fans from around the world.

O’Leary replied that the Commerce Department is working with other agencies, host committees and tourism groups to smooth travel and encourage future visits. He also pointed to the State Department’s work to reduce visa wait times and said the administration sees the World Cup as the first in a long run of major global events that can boost U.S. tourism.

But Democrats argued that Trump’s own policies are sending the opposite message.

Sen. Chris Van Hollen of Maryland, the top Democrat on the Commerce-Justice-Science appropriations subcommittee, said he is anxious that the administration’s actions unrelated to security — including the president’s anti-immigration rhetoric and travel restrictions — will discourage fans from coming and blunt the financial benefits expected to flow to host communities.

“What I worry about most is that factors unrelated to security will dampen enthusiasm for the tournament and reduce the economic benefits that should flow to communities that are hosting,” Van Hollen said.

He pointed to weaker-than-expected international tourism trends and pressed O’Leary on why Commerce had not yet produced updated travel forecasts required by law.

Sen. Jeanne Shaheen (D-N.H.) zeroed in on Canada and Mexico, which are co-hosting the tournament with the United States. She said Canadian tourism to her state has dropped sharply and tied the decline to Trump’s rhetoric toward America’s northern neighbor.

“We love our Canadian visitors,” said O’Leary, adding that the administration welcomes travel from Canada.

“Perhaps you should share that with President Trump,” Shaheen shot back.

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Obernolte wins

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Rep. Jay Obernolte (R-Calif.) is officially GOP conference policy chair.

He was elected by voice vote at the candidate policy forum on Wednesday, five members told Blue Light News as they were leaving the meeting. His only opponent, Rep. Claudia Tenney (R-N.Y.), withdrew from race on Tuesday.

Obernolte secured endorsements from senior Republicans like Republican Study Committee Chair August Pfluger (R-Texas) and the former policy chair Kevin Hern (R-Okla.). Hern left the position to launch a Senate bid.

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