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‘Throwing mud up against the wall’: E&C Republicans plot health care cost savings

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Energy and Commerce Committee Republicans met Tuesday to discuss where they might find billions of dollars in potential cuts to existing health care programs — including by making changes to the safety-net program Medicaid.

Finding such cost savings will be a key to financing incoming President Donald Trump’s domestic policy agenda, which Congressional Republicans want to advance as quickly as possible through the budget reconciliation process.

“We’re still in the process of just throwing mud up against the wall to see what sticks,” Rep. Buddy Carter (R-Ga.), chair of the Energy and Commerce Health Subcommittee, told reporters after the meeting. “Today we got down to some specifics, but we don’t have a consensus on what we’re going to do yet.”

Committee Republicans on Tuesday discussed making changes to pharmacy benefit managers, which negotiate drug prices on behalf of insurers. There has been a major bipartisan push to regulate their business practices to lower drug costs for consumers.

They also talked about how to recapture savings from enhanced premium subsidies for Affordable Care Act plans as well as whether they could enact so-called “site-neutral payment policy” — another bipartisan proposal which would stop hospitals from getting paid more by Medicare for the same care received at a doctor’s office.

Bipartisan solutions aren’t going to make the Republican reconciliation process a cross-the-aisle affair, however, as GOP lawmakers also continue to go after cuts to Medicaid, which would prompt significant backlash from Democrats and from many Republicans, too.

“It’s really hard. We have to find ways to make savings without harming health care for recipients,” said Rep. Morgan Griffith (R-Va.), who chairs the panel’s environment subcommittee. “We’re trying to help the program by making it more affordable … We’ve got to try and thread the needle.”

Ultimately, the ideas presented at the closed-door meeting have been floated previously by committee leaders, and the full committee chair, Rep. Brett Guthrie (R-Ky.), presented similar proposals to House Republicans earlier this month.

Guthrie, who plans to convene another meeting Thursday of Energy and Commerce Republicans to discuss reconciliation bill savings in the energy and environment arena, said the Tuesday health care meeting had an “informational” tone laying out what options are available.

“We looked at all the options,” Guthrie said.

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Congress

Absent congressmember Tom Kean Jr. starts working the phone

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Rep. Tom Kean Jr., whose two-and-a-half month disappearance has stoked speculation about his health and political future, has begun more actively communicating over the phone.

On Thursday, Kean began calling Republican county chairs in his 7th Congressional District, one of the most competitive in the country in this year’s midterms. The two-term Republican also gave a “lengthy” interview to New Jersey Globe on Thursday afternoon, the first he has granted since he last voted on March 5.

Kean did not respond to a text message from Blue Light News and his voicemail was full Thursday night.

But Kean, 57, gave no details to the Globe on his undisclosed illness, which has kept him out of public view since early March. He said he’s expecting to make a full recovery, that it would not affect his cognitive health, that he plans to run for reelection and that he will publicly discuss his health at an unspecified later date.

“My doctors are confident that I’m on the road to a full recovery,” Kean told New Jersey Globe. “I understand the need for public transparency, and I appreciate the support of my constituents.”

Kean added that he plans to return to voting and campaigning in the next couple weeks. Rep. Richard Hudson (R-N.C.), chair of the House GOP’s campaign arm, told reporters Thursday he spoke to Kean and he will be back voting in June.

Kean’s lengthy absence has drawn national media attention, with reporters staking out his home in the wealthy 7th Congressional District, where he faces an extremely competitive reelection, with four Democrats competing in the June 2 primary to take him on in November. His campaign and office staff had repeatedly said that he expects to make a full recovery and would return to work “soon.”

But few people — even Kean’s two fellow New Jersey House Republicans — had recently reported speaking to him. House Speaker Mike Johnson told reporters that he spoke to Kean last month.

Kean called Republican chairs in his district on Thursday.

“He sounded good to me. Sounded just as normal as always,” said Carlos Santos, the Republican chair of Union County, where Kean lives.

Santos said that he did not ask Kean about his ailment, and that Kean did not disclose it. But he said Kean confirmed he’s running for reelection and that he has his support.

Tracy DiFrancesco, the GOP chair of Somerset County, also spoke with Kean.

“It was just a simple conversation. He sounded just like Tom always sounds. He sounded perfectly fine. He’s basically back. Hopefully we’re going to see him very soon,” she said. “I think he’s doing well and we’re excited to get back on his campaign.”

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Tom Kean to return?

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Rep. Richard Hudson, chair of the House GOP’s campaign arm, told reporters Thursday he spoke to Rep. Tom Kean Jr. and he will be back voting in June.

Kean, a New Jersey Republican, has been missing from Capitol Hill since March 5 without explanation. Hudson, of North Carolina, said in an interview just a few days ago he hadn’t spoken to Kean in a while and only heard from Kean’s team that he could run for reelection.

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House rejects Smithsonian women’s history museum bill after partisan split

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The House rejected legislation Thursday to advance construction of the Smithsonian American Women’s History Museum after a partisan battle broke out in recent days over the long-sought building.

Lawmakers voted 216-204 to reject the legislation led by Rep. Nicole Malliotakis (R-N.Y.). Six Republican hard-liners joined all Democrats in opposition.

While 127 Democrats cosponsored an earlier version of the bill, most of them bailed after Republicans altered it ahead of the floor vote.

New language added in the House Administration Committee last month dedicated the museum to “preserving, researching, and presenting the history, achievements, and lived experiences of biological women in the United States” and prohibited the institution from seeking to “identify, present, describe, or otherwise depict any biological male as a female.”

Other new provisions called for “an equal representation of the diversity of the political viewpoints and authentic experiences held by women in the United States” and gave President Donald Trump the unilateral power to relocate the museum from sites already identified on the National Mall.

The Democratic Women’s Caucus announced earlier this week it would oppose the altered bill after working on it with Republicans for years.

“They amended the bill to give Trump and his allies unregulated power over what content and which women can be included in the museum, and the museum’s location,” Democratic Reps. Teresa Leger Fernández (N.M.), Hillary Scholten (Mich.) and Emilia Sykes (Ohio) said in a statement. “A museum about women, fought for and supported by women, should not be controlled by one man.”

Republicans also dealt with their own internal fights over the legislation this week. Several GOP lawmakers raised concerns in House Republicans’ closed door meeting Wednesday morning about why the museum was needed.

They also argued it would further divide Americans into groups when there are already women represented across the wider collection of Smithsonian museums, according to five people in the room granted anonymity to describe the private discussion.

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