White House officials are finalizing a handful of health care regulations, which means the rules will be released in short order.

The bottom line: These rules represent some of the biggest changes to the health care industry under the Trump administration. 

What we're watching:

  • Drug rebate rule. Arguably the most important, this regulation would require drug pricing rebates between drugmakers and middlemen in Medicare and Medicaid to go toward patients’ costs at the pharmacy counter. Health insurers and pharmacy benefit managers would be protected from losses for 2 years, and premiums for many drug plans would go up by a lot.
  • Dialysis payments to third parties. The Obama administration first took aim at stopping dialysis companies from donating money to kidney disease charities as a way to pay for patients' private health insurance premiums, shifting those people off lower-paying government programs. After a judge blocked the rule for skipping the normal regulatory process, this rule likely will shoot for the same goal — and dialysis companies will lobby against it.
  • Potential changes to kickback laws. This is less a rule and more an invitation to hospitals and doctors to rewrite "federal fraud and abuse laws so they can join forces and coordinate care, sharing cost reductions and profits in ways that would not otherwise be allowed," the New York Times wrote last November.

Go deeper: Big Pharma is most afraid of Trump's drug pricing plan

Go deeper

Updated 18 mins ago - Politics & Policy

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Global: Total confirmed cases as of 4 p.m. ET: 31,175,205 — Total deaths: 962,076— Total recoveries: 21,294,229Map.
  2. U.S.: Total confirmed cases as of 4 p.m. ET: 6,829,956 — Total deaths: 199,690 — Total recoveries: 2,590,695 — Total tests: 95,121,596Map.
  3. Health: CDC says it mistakenly published guidance about COVID-19 spreading through air.
  4. Media: Conservative blogger who spread COVID-19 misinformation worked for Fauci's agency.
  5. Politics: House Democrats file legislation to fund government through Dec. 11.
  6. World: "The Wake-Up Call" warns the West about the consequences of mishandling a pandemic.

McConnell: Senate has "more than sufficient time" to process Supreme Court nomination

Senate Majority Leader Mitch McConnell (R-Ky.) said in a floor speech Monday that the chamber has "more than sufficient time" to confirm a replacement for Supreme Court Justice Ruth Bader Ginsburg before the election, and accused Democrats of preparing "an even more appalling sequel" to the fight over Brett Kavanaugh's confirmation.

Why it matters: Senate Minority Leader Chuck Schumer (D-N.Y.) has said "nothing is off the table next year" if Republicans push ahead with the confirmation vote before November, vowing alongside Rep. Alexandria Ocasio-Cortez (D-N.Y.) to use "every procedural tool available to us to ensure that we buy ourselves the time necessary."

House Democrats file legislation to fund government through Dec. 11

House Speaker Nancy Pelosi (D-Calif.). Photo: Chip Somodevilla/Getty Images

House Democrats on Monday released their proposal for short-term legislation to fund the government through December 11.

Why it matters: This is Congress' chief legislative focus before the election. They must pass a continuing resolution (CR) before midnight on Oct. 1 to avoid a government shutdown — something both Hill leaders and the White House have claimed is off the table.