Talks over big end-of-year health package heat up in Congress

WASHINGTON — Negotiations over a large health care policy package are heating up this week as Congress hurtles toward a government funding deadline at the end of the month.

Congressional Republicans on Tuesday made an offer to Democrats that included a multi-year extension of pandemic-era telehealth flexibilities in Medicare, some reforms in how pharmacy middlemen operate, a Medicare pay bump for doctors, funding for community health centers, and extensions of public health programs in Medicare and Medicaid, according to a copy obtained by STAT. 

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However, Republicans proposed paying for the policies with a full repeal of the Biden administration’s controversial nursing home staffing rule, which sets minimum staffing requirements. Repealing the rule would have saved the federal government $22 billion. Democrats are unwilling to repeal their own administration’s policy, so the offer is a no-go, five sources familiar with the talks told STAT. 

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