With Democrats now poised to gain control of both chambers of Congress, AMCP published the following deck to outline the impacts of the 2026 midterm election on federal health policy.
Legislative Update: House Energy & Commerce Health Subcommittee Holds Hearing on Legislative Proposals to Support Patient Access to Medicare Services
On Jan. 8, the House Energy & Commerce Subcommittee on Health held its first hearing of 2026, to discuss legislative proposals to support patient access to Medicare services. While the subcommittee did not markup or hold votes to advance legislation, it discussed several proposals including bills to reform the Medicare clinical laboratory fee schedule, enhance reimbursement for Durable Medical Equipment, Prosthetic Devices, Prosthetics, Orthotics, & Supplies (DMEPOS), preserve patient access to home care services such as ultrasounds, supplemental oxygen, and portable ultrasounds. The Subcommittee also considered legislation regarding CMS’ Wasteful and Inappropriate Service Model (WISeR), which will test the use of artificial intelligence (A.I.) to expedite and improve the prior authorization process in traditional Medicare.
Related
Cell & Gene Therapies (CGT) offer potentially curative treatment to patients with chronic and hereditary conditions but carry high price tags. One proposal to overcome such financing challenges is to create a national risk pool.
The Academy of Managed Care Pharmacy (AMCP) thanks the Centers for Medicare & Medicaid Services (CMS) for the opportunity to provide comments in response to Medicare Drug Price Negotiation Program: Draft Guidance, Manufacturer Effectuation of the Maximum Fair Price in 2028 (Draft Guidance). CMS issued this draft guidance to describe the processes and requirements for manufacturer effectuation of the maximum fair price (MFP) in 2028 for selected drugs payable under Medicare Part B and/or covered under Medicare Part D.
Featured News & Resources
See Full CalendarUpcoming Events
AMCP offers a wide variety of educational opportunities, from events and webinars to online training.
