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    4.    
LEGISLATION COMMITTEE
Meeting Date: 04/10/2023  
Subject:    Federal Update
Submitted For: LEGISLATION COMMITTEE
Department: County Administrator  
Referral No.: 2023-07  
Referral Name: Federal Update
Presenter: Paul Schlesinger, Thorn Run Partners Contact:

Information
Referral History:
The Legislation Committee regularly receives reports on federal legislation and budget matters of interest to the County and provides direction to staff and the County's federal lobbyists. The County's lobbyists from Thorn Run Partners includes Mr. Paul Schlesinger, who will attend the Committee meeting via Zoom to provide additional information about the County's Community Project Funding requests and other significant federal matters.
Referral Update:
The lobbyists from Thorn Run Partners provide their clients, including Contra Costa County, a daily "Tip Sheet" that summarizes key federal matters. (With Congress out for Passover and Easter holidays, the publication of the Tip Sheet will be three days a week until the week of April 17.)
The TRP Tip Sheet
April 5, 2023
QUICK TAKES
— CONGRESS BREAKS FOR SPRING HOLIDAYS. House and Senate lawmakers will return for legislative business on Monday, April 17.

— NIH LAUNCHES NATIONAL CANCER PLAN. The NCI designed the plan to adopt the Cancer Moonshot goal of reducing cancer deaths by at least 50 percent within 25 years.

— TREASURY TO ANNOUNCE IRS SPENDING PLAN THIS WEEK. The Strategic Operating Plan is expected to detail enforcement, customer service, and internal infrastructure improvements, among other items.

CMS FINALIZES RATE ANNOUNCEMENT OF METHODOLOGICAL CHANGES FOR CY 2024 MA, PART D PAYMENT POLICIES. Click here to view TRP's analysis of the rate announcement.
NEW TODAY...

— NIH LAUNCHES NATIONAL CANCER PLAN. Recently, the National Institutes of Health (NIH) published its National Cancer Plan (press release). Specifically, the National Cancer Institute (NCI) designed the plan to adopt the Cancer Moonshot goal of reducing cancer deaths by at least 50 percent within 25 years.
  • The report is on a new National Cancer Plan website and centers around eight goals: (1) prevent cancer; (2) detect cancers early; (3) develop effective treatments; (4) eliminate inequities; (5) deliver optimal care; (6) engage every person; (7) maximize data utility; and (8) optimize the workforce.

— TREASURY TO ANNOUNCE IRS SPENDING PLAN THIS WEEK. Treasury Secretary Janet Yellen recently announced the forthcoming release of the Department's proposal to spend the $80 billion funding tranche awarded by Congress to the Internal Revenue Service (IRS) last year. Originally anticipated to be released in February, the Strategic Operating Plan is expected to detail enforcement, customer service, and internal infrastructure improvements, among other items.

— CMS PROPOSES FY 2024 INPATIENT REHABILITATION FACILITY PPS UPDATES. On April 3, the Centers for Medicare and Medicaid Services (CMS) issued a proposed rule to update the Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS) and the IRF Quality Reporting Program (QRP) for fiscal year (FY) 2024. Click here to view TRP's analysis of this rulemaking.

— CMS FINALIZES RATE ANNOUNCEMENT OF METHODOLOGICAL CHANGES FOR CY 2024 MA, PART D PAYMENT POLICIES. Recently, CMS released its Rate Announcement of Methodological Changes for Calendar year (CY) 2024 Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies. Click here to view TRP's analysis of the rate announcement.

RECENT DEVELOPMENTS...

MEDICARE TRUSTEES REPORT: SOLVENCY PROJECTIONS IMPROVE OVER 2022 REPORT. The Medicare Board of Trustees released their annual report for Medicare’s two separate trust funds: (1) the Hospital Insurance (HI) Trust Fund; and (2) the Supplementary Medical Insurance (SMI) Trust Fund. Click here to read TRP's analysis of the report.

— CONGRESS EXAMINES RECENT BANK FAILURES WITH FINANCIAL REGULATORS. On March 28 and 29, the Senate Banking and House Financial Services Committees (HFSC) each held hearings with Federal Deposit Insurance Corporation (FDIC) Chair Martin Gruenberg, Treasury Undersecretary Nellie Liang, and Federal Reserve Vice Chair for Supervision Michael Barr on the recent failures of Silicon Valley Bank (SVB) and Signature Bank. Click to view TRP's summaries of the Banking and HFSC hearings.

— BIDEN ADMINISTRATION OUTLINES BANKING REFORM WISHLIST. In response to the recent failures of SVB and Signature Bank, the White House unveiled a series of proposed reforms that seek to bolster certain federal banking regulations. Notable actions under consideration by the administration include:
  • Raising liquidity requirements and implementing enhanced liquidity stress tests;
  • Increasing the frequency of stress tests for banks under the $250 billion systemic importance threshold;
  • Bolstering capital requirements; and
  • Expanding long-term debt standards, among others.

— BECERRA TESTIFIES ON HHS BUDGET REQUEST. On March 28 and 29, Health and Human Services (HHS) Secretary Xavier Becerra testified before the House Ways and Means and Energy and Commerce (E&C) Committees on the department's fiscal year (FY) 2024 budget request. Click to view TRP's summaries of the Ways and Means and E&C hearings.

— GENSLER TESTIFIES ON SEC FY 2024 BUDGET REQUEST. On March 29, Securities and Exchange Commission (SEC) Chair Gary Gensler testified on the SEC's FY 2024 budget request before the House Appropriations Subcommittee on Financial Services and General Government (FSGG). Click here to read TRP's hearing summary.

— HUD ANNOUNCES FUNDING FOR LOCAL HOMELESS AND HOUSING PROGRAMS. The U.S. Department of Housing and Urban Development (HUD) recently awarded $2.8 billion in funding to state and local entities through the Continuum of Care (CoC) grant program.
  • The CoC program is intended to promote a community-wide commitment to the goal of ending homelessness and is the largest source of federal grant funding for homeless services and housing programs servicing people experiencing homelessness.
  • A full list of awardees broken down by state can be found here.

— E&C EXAMINES POSSIBLE REFORMS AROUND NIL FOR STUDENT ATHLETES. On March 29, the House E&C Subcommittee on Innovation, Data, and Commerce held a hearing to discuss possible reforms to name, image, and likeness (NIL) policy for college athletics. Click here to read TRP's hearing summary.
Recommendation(s)/Next Step(s):
ACCEPT the report on federal matters of interest to Contra Costa County and provide direction to staff and County lobbyists, as needed.
Attachments
No file(s) attached.

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