House gone, Senate lingers
September 21, 2026
House gone, Senate lingers
The House left town last Wednesday after three days in session, and the chamber won’t return until after election day. The Senate is still in town, with most focus on college sports legislation and nominations. The Senate is scheduled to be in town for the next two weeks but could leave this week depending on what they get done.
While still in town, the Senate’s health care agenda is sparse, as most attention is on college sports legislation. However, the Senate aims to advance additional nominations. On Thursday, September 24, 2026, the Senate Health, Education, Labor, and Pensions (HELP) Committee will vote on five nominations, including three health care nominees:
- Nicole Saphier, nominated for Surgeon General
- Timothy Westlake, nominated for Assistant Secretary for Mental Health and Substance Use, Department of Health and Human Services (HHS)
- Mary Lazare, nominated for Assistant Secretary for Aging, HHS
The Senate HELP and Finance Committees held nomination hearings last week for Chris Klomp, nominated for Deputy Secretary of HHS. His nomination only has to advance out of the Finance Committee, and a vote is yet to be scheduled. After the HELP Committee votes on nominations on Thursday morning, it will consider the nomination of Heidi Overton for Commissioner of the US Food and Drug Administration (FDA). It is unclear whether there is time for Senate floor votes on those nominations this week, or if the chamber would stay in town for part or all of next week to confirm those nominees.
On the administrative front, we await the Comprehensive Regulations to Uncover Suspicious Healthcare (CRUSH) proposed rule from the Centers for Medicare and Medicaid Services, and potential rulemaking on Individual Coverage Health Reimbursement Arrangements (ICHRAs), recently rebranded as CHOICE arrangements. Additionally, the Medicaid and CHIP Payment and Access Commission (MACPAC) will hold its first public meeting of the 2026-2027 cycle this Thursday and Friday, with sessions focused on Medicaid work requirements, state directed payments, and home- and community-based services.
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