AXIOS January 19, 2026
Congressional negotiators are expected to release a bipartisan health care package as soon as today that revives major parts of a deal that was torpedoed in late 2024 by Elon Musk and then President-elect Trump.
Why it matters: The agreement would include long-stalled priorities like an overhaul of the business practices of pharmacy benefit managers — the “middlemen” between drug manufacturers and insurers — and new controls on how hospitals bill for outpatient services, according to sources familiar.
- The package does not include an extension of enhanced Affordable Care Act subsidies, which Democrats want but has hit resistance from GOP leadership.
- A bipartisan group of senators still is proceeding on a separate track to find a compromise on...
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