Congress
Mortality and margins weigh on House Republicans as they kick off the election year
Tuesday was supposed to be a rah-rah day for House Republicans — a chance to strategize with President Donald Trump about their agenda for the tough election year ahead.
Instead, 2026 got off to an unexpectedly somber start as they confronted the sudden death of a well-liked colleague and pondered the dire political and policy straits their dwindling majority has to navigate.
Most members learned about California Rep. Doug LaMalfa’s overnight passing as they boarded buses outside the Capitol to head to the Kennedy Center for their annual policy meeting. That news — as well as word that another Republican, Rep. Jim Baird of Indiana, had been badly hurt in a car crash — cast an immediate pall.
“This is coming as a shock to all of us,” said one House Republican who, like others quoted for this story, was granted anonymity to speak candidly about the mood.
Even a characteristically freewheeling speech from Trump — delivered at the performing arts center his hand-picked board had recently renamed for him without congressional approval — hardly lightened the mood. He remembered LaMalfa, a rice farmer who represented a rural northern California district for seven terms, as a loyal supporter and said he considered skipping the speech out of respect for his death.
“But then I decided that I have to do it in his honor,” Trump said. “I’ll do it in his honor because he would have wanted it that way.”
But reality soon set in that the House GOP would be facing challenges that went well beyond mourning. For one, LaMalfa’s death and Baird’s hospitalization represented another blow to their razor-thin majority, leaving many contemplating whether Republicans could ever muster the votes they would need to pass a laundry list of pre-midterm policy priorities.
LaMalfa’s death and Georgia Rep. Marjorie Taylor Greene’s resignation this week left the GOP with a bare 218 votes for at least until early March. With Baird’s indefinite absence and the unreliable support of libertarian Rep. Thomas Massie (R-Ky.), Speaker Mike Johnson has to confront a day-to-day struggle to maintain control of the House.
His leadership circle, for instance, quickly had to calculate whether they would have enough Republicans in attendance to clear a procedural vote Wednesday allowing them to pass on a critical government funding package and several other bills this week.
“We keep saying we are one breath away from the minority — that’s more true today than ever,” another House Republican said.
Trump’s 84-minute speech ultimately veered into myriad topics. He at one point commented on his own mortality and pushed back on reports about his aging and declining health, admonishing some Republicans in attendance for calling to check if he was “dead” last year after he was away from cameras for several days.
He also raised concerns about keeping the House majority next year — a topic that lawmakers and White House aides say is frequently on the president’s mind.
“They say that when you win the presidency, you lose the midterm,” Trump said. “So you’re all brilliant people: I wish you could explain to me what the hell’s going on with the mind of the public, because we have the right policy.”
He then proceeded to throw a bomb into those policy plans as Republicans struggle to address rising health care costs — a topic that’s become an albatross for the party after a bitter December fight over extending Obamacare tax credits that have now expired, raising premiums for millions of Americans.
The president directed Republicans to be “flexible” on abortion issues in ongoing health care talks — essentially asking many in his party to cross a moral red line by abandoning the longstanding ban on taxpayer funding for abortion known as the Hyde amendment.
The remark stunned House conservatives in the audience and those listening in the Senate.
“I almost fell out of my chair,” said one who attended the meeting.
“Everything depends on details, but Hyde is nonnegotiable for most conservatives,” added a senior House Republican aide. That person didn’t rule out a potential “creative solution” on the matter but said “caving on Hyde is not an option.”
Asked for his reaction on Capitol Hill, Sen. James Lankford (R-Okla.) said, “I’m not flexible on the value of every child’s life.” Others took it as an encouraging sign that Trump wants to notch a deal this month on an especially nettlesome election year issue.
But inside the House GOP policy sessions that followed the Trump speech Tuesday — touching on energy, housing and other issues — members continued to struggle with the way forward on their health care plans, according to six Republicans with direct knowledge of the conversations.
Many hard-line conservatives — who see abortion protections as an essential element in any health care legislation — would prefer Republican leaders pursue a party-line bill under filibuster-skirting budget reconciliation rules rather than cut a deal with Democrats.
Otherwise, according to two people with knowledge of the retreat discussions, key lawmakers ran through a well-known menu of legislative options — albeit one that is unlikely to offset the impact of the expired Obamacare subsidies before Election Day.
House Ways and Means Chair Jason Smith (R-Mo.) discussed proposals to expand tax-advantaged health savings accounts, while Energy and Commerce Chair Brett Guthrie (R-Ky.) talked through potential overhauls to a key prescription drug program and bills that would crack down on intermediaries known as pharmacy benefit managers.
Trump directed House Republicans in his earlier remarks to work on so-called “most favored nation” drug pricing legislation — something he’s pursued in executive orders and deals with health care giants as he moves to lower the cost of prescription drugs.
But the issue is deeply divisive among Hill Republicans, and GOP leaders have continued to rebuff Trump’s attempts to attach it to numerous legislative vehicles — including the sprawling megabill Republicans passed this summer.
Senior GOP aides on Capitol Hill say they have plans to address drug prices via HSAs and other policies, but they are leaving it to the White House to promote the most-favored-nation and other direct drug pricing plans.
That, Trump said — along with being “flexible” on Hyde and “directly” giving Americans money to purchase coverage — would allow Republicans to “take away” the issue of health care from Democrats, Trump asserted at the House GOP meeting.
“You could own health care, figure it out!” Trump said.
But House Republicans privately acknowledged throughout the day Tuesday it’s far from that easy.
“We’re still far from a solution on health care,” one GOP lawmaker said.
Benjamin Guggenheim contributed to this report.
Congress
RFK Jr. will remake panel that determines which preventative services insurers must cover
Health Secretary Robert F. Kennedy Jr. said Thursday he’s overhauling a group of external experts who decide what medical services are preventive and must be covered fully by insurers under the Affordable Care Act.
“That committee has been lackadaisical and negligent for 20 years,” Kennedy said of the U.S. Preventive Services Task Force, speaking before the House Ways and Means Committee.
Made of 16 experts, the task force is working on draft recommendations on autism screening in young children; breast cancer risk assessment and drugs to reduce risk; and counseling on early allergen introduction to prevent infant food allergies. Autism and food allergies in children are among Kennedy’s priorities for improving children’s health.
But the Department of Health and Human Services canceled three of the four meetings the group was scheduled to hold since President Donald Trump took office last year.
The Wall Street Journal reported last summer that Kennedy was planning to remove all 16 task force members because he considered them too “woke.”
“We’re now bringing new members on who have a clear mission,” Kennedy told lawmakers Thursday, adding that the task force will have more frequent meetings and transparency.
The Supreme Court ruled in June that the health secretary has the power to fire and appoint members of the task force and to reject its recommendations for which screenings or drugs should be offered to certain populations.
But some public health advocates worry that Kennedy would remake the U.S. Preventive Services Task Force to align it with his views, many of which go against mainstream science, the same way he overhauled the Advisory Committee on Immunization Practices that advises the Centers for Disease Control and Prevention, appointing members who shared his skepticism of vaccine safety.
A federal judge in Boston ruled in March that Kennedy’s appointments to the vaccine panel had been made inappropriately and were invalid.
Congress
Johnson tries again on spy powers vote amid GOP rebellion
Speaker Mike Johnson will try again Thursday to push the House to extend an imperiled spy powers law after GOP resistance forced him to punt a vote Wednesday.
Johnson is scheduling a procedural vote for 3:15 p.m. and final passage around 5 p.m. He told POLITICO late Wednesday that he believed negotiators needed “a few more hours” to wrap up discussions on a potential compromise with conservatives concerned about U.S. citizens being caught up in government surveillance.
Talks between White House officials and House GOP hard-liners are ongoing, and there’s no deal yet, according to five people granted anonymity to discuss negotiations. Those people said an agreement by Friday seems more likely at this point and it’s possible Johnson has to delay the vote again ahead of the Monday expiration.
Johnson is racing to close out the internal GOP battle as President Donald Trump demands an 18-month extension of Section 702 of the Foreign Intelligence Surveillance Act.
The speaker needs to send the FISA extension to the Senate before the Monday deadline, leaving barely any time for the Senate to act and threatening a rare weekend session.
The House ultraconservatives opposed to the clean spy powers extension are trying to hash out an amendment involving warrant requirements, drawing on language from a measure by Louisiana Republican Rep. Clay Higgins.
White House officials, mindful of the ongoing Department of Homeland Security shutdown, are also trying to finalize an agreement so they can tackle a party-line immigration enforcement bill and end the funding lapse.
Congress
Capitol agenda: GOP losing patience over Warsh fight
Republicans who want Kevin Warsh confirmed as the country’s next top economic official are growing more exasperated at a Trump administration probe standing in the way.
For months, outgoing GOP Sen. Thom Tillis has said he’d blockade President Donald Trump’s pick until the Justice Department drops an investigation into current Fed Chair Jerome Powell. Now a growing chorus of Republicans, eager to install Warsh as Powell’s term as chair comes to a conclusion next month, are joining the call for the administration to end the probe.
Senate Majority Leader John Thune said Wednesday he believed the administration should wrap up its investigation, and acknowledged that Warsh is basically stuck until then.
“I think at some point they’re going to have to deal with the committee, and they’re going to have to deal with Tillis,” Thune said of the administration.
Tillis holds a deciding vote on the Senate Banking panel, which scheduled a hearing on Warsh’s confirmation Tuesday. His GOP colleagues on the committee haven’t committed to blocking Warsh with him, but some are taking his side in calling for an end to the investigation into whether Powell lied to Congress during testimony last year about cost overruns at the Fed’s Washington headquarters.
Sen. Mike Rounds, who has previously declined to weigh in on the probe, told reporters Wednesday he wants to see it dropped so that Warsh can be confirmed.
“The president wants a different Fed chair. And we want to help him get there,” Rounds said. “But that requires right now that they resolve the issue surrounding this prosecution that is still taking place.”
Another Banking Republican granted anonymity to speak candidly predicted the administration and Tillis would ultimately find an off-ramp but told Jordain Carney the DOJ “should drop the investigation.”
And over in the House — which holds no sway over nominations — Financial Services Chair French Hill said Wednesday “it’s time for the administration to draw that investigation to a conclusion,” as “we want to make sure that we’ve got a new confirmed head of the Fed that we can work with in conducting oversight.”
Trump, meanwhile, is digging in and ratcheting up his conflict with Powell. He threatened Wednesday to fire Powell if he stays on as chair once his term ends — a growing possibility amid the Warsh stalemate. That follows a visit that officials from U.S. Attorney Jeanine Pirro’s office made to the Fed’s headquarters this week.
Asked about the prospect of getting Tillis’ vote to help secure his Fed nominee, Trump said on Fox Business that the North Carolinian is “no longer a senator,” given that Tillis is retiring at the end of his term.
But Tillis is standing his ground, Jordain and Jasper Goodman report, and he’s leaving the door open to exercising his power even more.
Tillis also sits on Senate Judiciary, where he will have a vote in the event the panel considers a successor to outgoing Attorney General Pam Bondi. He’s already warned he will block any attorney general nominee who has dismissed the attack on the Capitol on Jan. 6, 2021. And he’s not completely ruling out making the Fed probe a litmus test for AG nominees if it continues.
“If we keep letting this go on, I have to consider other options for really amplifying my concern,” Tillis said of his Fed fight.
What else we’re watching:
— Johnson tries again on FISA: Speaker Mike Johnson is expecting to put a procedural vote on the House floor Thursday to renew key government spy powers after his attempt Wednesday failed. GOP leaders canceled a planned vote Wednesday amid disagreements over whether to allow members to amend the legislation reauthorizing Section 702 of the Foreign Intelligence Surveillance Act.
— RFK Jr. hearing palooza kicks off: Health and Human Services Secretary Robert F. Kennedy Jr. Thursday starts a stretch of seven congressional hearings in less than a week. The series serves as the first high-profile public forum to test the White House’s theory that Kennedy will help Republicans in the midterms.
— Selig likely to talk prediction markets: House Agriculture lawmakers Thursday are all but certain to press CFTC Chair Michael Selig on the surge in popularity — and controversy — surrounding prediction markets. Selig has emerged as the markets’ most prominent backer in Washington, but he’s also planning to make one thing clear to the lawmakers up front: He’s still the markets’ top cop.
Jordain Carney, Jasper Goodman, Mia McCarthy, Declan Harty, Carmen Paun, Simon Levien, Robert King and Cheyenne Haslett contributed to this report.
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