The House Energy and Commerce Committee is scheduled to meet shortly for the first of three critical markups today on President Donald Trump's ‘One Big Beautiful’ reconciliation bill. A livestream of the debate and markup, and the bill text can be found here.
- The OMB yesterday affirmed that E&C Committee Chair Brett Guthrie’s (R-KY) bill hit the target of $880 billion in cuts dictated by the Republican budget resolution. The CBO warned that the roughly $700 billion in health care cuts, including to Medicaid, would lead to an additional 13.7 million Americans going uninsured.
- If Guthrie’s final text fails to balance his conservative flank (calling for deeper cuts) and moderates (who want to preserve as much of Medicaid as possible), it could have consequences for the prospects of the package reaching Trump’s desk. And in the longer term, at the 2026 midterm elections.
- The markup could last more than 24 hours, with Democrats preparing a flurry of messaging amendments highlighting cuts to Medicaid. Politico notes: “Committee Democrats say it could run longer than the marathon 27-hour markup during Republicans’ unsuccessful attempt to repeal the Affordable Care Act in 2017.”
- For a full roundup of what to expect today, see the MNI US Daily Brief.