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Hospital leaders are organizing a lobbying effort to delay or reverse nearly $1 trillion in Medicaid funding cuts over the next decade that were included in Trump's tax cut bill. The industry is exploring strategies to mitigate the damage to their operations and funding.
- Congress passed a law cutting nearly $1 trillion from Medicaid over 10 years as part of the Trump tax cut bill
- Hospital leaders are actively building plans to delay, roll back, or reduce the impact of these cuts
- The hospital industry is mobilizing its lobbying resources in Washington to fight the spending reductions
The Department of Labor’s proposal would force pharmacy benefit managers to disclose drug pricing details to employers and open their books to audits. More than 500 comment letters show PBMs and insurers fighting the rule, while some employers and startups back it and drugmakers offer mixed support.
- DOL's proposed rule would force PBMs to disclose rebates, fees, and spread pricing to employers and submit to audits
- Over 500 comment letters split along predictable lines: PBMs/insurers oppose it as exposing confidential contracts, while Cost Plus Pharmacy and business groups support it as curbing hidden markups
- Drugmakers back reining in PBMs generally but want the disclosure rules narrowed to administrative fees, excluding drug-specific rebate data that competitors could exploit
- Rule could shift negotiating power from PBMs to employers, though employers would then face more complex data to manage in contract talks
Silicon Valley is actively strategizing against California's proposed billionaire tax, which targets wealthy individuals to address state budget deficits. The discussions highlight a broader conflict between the tech industry and state tax policies, as many in the industry view the tax as detrimental to their interests.
- A Signal group called "Save California" has become a coordination hub for Silicon Valley figures organizing opposition to a proposed 5% wealth tax on state billionaires.
- Participants span the political spectrum, including Palmer Luckey (Anduril), David Sacks (Trump administration), and Chris Larsen (Ripple, tied to Kamala Harris), showing bipartisan tech elite alignment against the tax.
- Beyond criticism, the group is workshopping alternative policy proposals and discussing relocating residency outside California to avoid the tax.
- The episode signals an organized, direct effort by tech billionaires to shape state tax policy amid fears of capital and talent flight from California.