Happy actual Friday! We're getting a better picture of the Obamacare replacement plans the House committees will start working on after the recess. But they're still figuring out critical details, like any numbers at all, and they're nowhere close to getting all Republicans on board.
We've all been in suspense, chasing the details of what House Republicans will do to replace Obamacare — and now it's clear we could have been reading House Speaker Paul Ryan's "A Better Way" plan the whole time. The briefing document from yesterday's House Republican meeting sticks closely to the Ryan plan from last year, at least in the parts it includes.
The big things that are being picked up from "A Better Way":
The big pieces that are left out:
The backstory: None of this should be a surprise. Ryan has been the driving force in the House on health care reform all along, and he noted yesterday that his former colleague, Health and Human Services secretary Tom Price, was "one of the primary architects" of the Better Way plan. The Senate still has to buy off on it, but the thinking among House GOP aides is that the House has more leverage because Ryan has been working on these ideas for years.
The big signal that House Republican leaders are sending with the Obamacare replacement plan: The Freedom Caucus doesn't get to run the show.
Why it matters: The House leadership is calling the bluff of the Freedom Caucus — but they do need their votes to pass the plan. And then they'll have to keep the conservatives on board if the Senate tries to moderate the plan.
FWIW: Caitlin Owens reports that none of the Senate Republicans she asked had read the House plan. They didn't know it was out.
Here's what Ryan said at his weekly press conference yesterday: "I think it's 32 states, if I am not mistaken, have Medicaid expansion. Mine did not. We're going to have to find a solution that accommodates each of these two concerns."
What's in the plan: States that expanded Medicaid could keep getting their extra federal funds "for a limited period of time," but they'd go back to the regular federal matching rate "at a date certain." Republicans are still figuring out what those dates will be, but the goal is to stop the states that expanded Medicaid from enrolling new people.
The briefing document lays out all of the ideas but includes almost none of the specifics that really matter, like the size of the tax credit, the amount of the "state innovation grants," or the ways to pay for all of it. That's partly because Republicans are still getting official cost estimates, but those are the details that will really make a difference, according to outside analysts:
President Trump's acting Federal Trade Commission chairwoman, Maureen Ohlhausen, is wasting no time shaking up the agency. Bob Herman reports that she named Tad Lipsky the new acting director of the FTC's Bureau of Competition yesterday — the office charged with policing mergers and acquisitions for most of the health care industry.
What this means: Potentially less oversight, but not for all health care players. Lipsky replaces Deborah Feinstein, who went after some large hospital and health system mergers. However, her group has been lax on many transactions involving drug companies, pharmacy benefit managers and retail pharmacies.
Key quote: Here's what Lipsky said to U.S. News & World Report in December after Trump won: "The purpose of antitrust is not necessarily to prevent firms from succeeding, even when they become very dominant in their industry."
The Centers for Medicare and Medicaid Services nominee didn't answer all of the questions at the Senate Finance Committee hearing yesterday — especially on the new Obamacare rule, which came from the agency she'll be running. But there were a few standout moments:
For more highlights, read Caitlin Owens' roundup here.
Republicans went on a tear yesterday with the bill introductions, as they unloaded more details of other pieces of Obamacare replacements. Bookmark these and make someone read them for you:
Between the lines: The pre-existing conditions bill reads a lot like Obamacare — it looks like Republicans suddenly decided to just cover all sick people. But it's supposed to be paired with a "continuous coverage" bill, which would allow people to be charged more if they didn't keep themselves insured. It's also possible that the Trump administration will take some of their own steps to promote continuous coverage, as we noted yesterday.
What we're watching next week: National Governors Association winter meeting, Washington, Feb. 24-27. Also: what's the reaction to the House GOP plan? And what will be the next Obamacare town hall video to go viral?
Have a great weekend, and tell us what you're hearing and what else we need to know: firstname.lastname@example.org.