Congress
Insurers point to providers, drugmakers for driving up health costs
Health insurance CEOs testifying before Congress about whether they’re to blame for soaring health care costs have a plan: pass the buck.
Five CEOs of major insurers will make the case that the health care premiums they set are rising because of prices charged by other health care players — like hospitals and drugmakers — according to their prepared testimony.
The insurer blueprint comes as the industry is under immense public and political pressure to address rising health care costs, especially after enhanced Affordable Care Act subsidies expired last year, sending Obamacare premiums skyrocketing for millions.
The well-heeled CEOs of some of America’s biggest insurance companies aren’t used to groveling, but want to keep lawmakers on their side and avoid any viral moment under cross-examination. The questioning could be tough, considering President Donald Trump called their firms “money sucking Insurance Companies” this month on Truth Social.
The CEOs will testify before the Energy and Commerce Health Subcommittee Thursday morning, before facing the Ways and Means panel later in the day. In their testimonies, they’ll attempt to reverse the narrative that they’re at fault for how unaffordable American health care has become.
“The cost of health insurance is driven by the cost of health care. It is a symptom, not a cause,” said UnitedHealth Group CEO Stephen Hemsley in his prepared testimony. “Premium rates are based on two key factors: how much care is used and how much is charged for that care. When the price of care goes up and care activity increases, the cost of health coverage necessarily follows.”
Whether the administration buys that is a different story.
Trump has applied pressure, calling on the companies to slash prices and saying he’d convene the CEOs to secure commitments similar to ones he’s received from the pharmaceutical industry to reduce drug prices.
In their testimony, the CEOs will highlight affordability-related policies they hope Congress will take up — from reforming how providers are paid to digitizing Americans’ health records. The insurers plan to emphasize steps they’ve taken, including commitments to the Trump administration last year to speed up their processes for approving treatments.
Hemsley, CEO of UnitedHealth Group, the nation’s largest insurer, pledged in his testimony to return any profits the company makes on Obamacare plans in 2026 to customers.
“Our message as an industry is that we’re advocates for affordability,” Mike Tuffin, CEO of health insurance trade group AHIP, told Blue Light News. “We’re the only part of the system that gets up every day working to lower costs. We’re doing everything we can to shield consumers from high and rising health care costs.”
Elevance Health CEO Gail Boudreaux plans to point out that hospital care, doctor services and prescription drugs “have been the largest contributors” to rising U.S. health care spending, which grew 7.2 percent to $5.3 trillion in 2024. Cigna CEO David Cordani will highlight data showing hospital prices surged in recent decades — a trend he says has been compounded by hospital acquisitions and private-equity ownership of provider practices.
Some of the executives plan to compare insurers’ thin profit margins to other health care industries’. Insurer profit margins were about 1.8 percent in 2025, according to the National Association of Insurance Commissioners. Drug companies’ margins are between 20 to 40 percent, Cordani plans to point out.
Hospitals and drug companies have long made the case that insurers aren’t so innocent. The American Hospital Association, in a statement submitted ahead of the hearing, said “actions by many commercial insurers erect barriers that make it more difficult for patients to receive timely access to needed medical care.”
Congress
House Transportation chair reveals markup date for highway bill
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.”
Congress
DHS shutdown disrupts World Cup planning, officials tell senators
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.
Congress
Obernolte wins
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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