In the opening weeks of 2025, Washington has witnessed significant developments shaping the new congressional session. The government successfully secured funding until March 14, with temporary healthcare provisions extended. Meanwhile, the 119th Congress commenced its term on January 3, with Mike Johnson re-elected as Speaker of the House. Despite challenges, Congress is set to certify national election results today, January 6, amid a snowstorm affecting much of the DC area. Republicans plan an ambitious reconciliation package covering immigration, energy, and tax cuts, while Democrats prepare committee assignments. Hearings for nominations are expected to begin soon.

Government Funding and Healthcare Provisions Extended

The initial weeks of the year saw the successful passage of a continuing resolution, ensuring government operations continue until mid-March. This legislation included essential healthcare measures, extending critical services like Medicare telehealth and hospital care programs. However, it did not address a recent cut to Medicare physician payments. The resolution aimed to stabilize immediate operational needs while lawmakers focus on broader policy discussions.

Despite the rocky path, the government secured temporary extensions for vital healthcare services. Medicare telehealth flexibilities and the Acute Hospital Care at Home program received extensions until the end of March. Additionally, certain low-volume hospitals will benefit from increased payment adjustments, and Medicaid payment cuts to disproportionate share hospitals have been delayed. These provisions aim to maintain healthcare access during the transition period. Yet, the 2.83% reduction in Medicare physician pay remains unresolved, highlighting ongoing challenges in healthcare financing.

New Congressional Leadership and Legislative Priorities

The 119th Congress began its session on January 3, marking a new chapter in legislative affairs. Mike Johnson's re-election as Speaker of the House ensured leadership continuity, avoiding the prolonged voting process faced by his predecessor. With a fresh start, both parties are setting their agendas for the coming months. Republicans, supported by President-elect Trump, plan a comprehensive reconciliation package addressing key issues like immigration, energy, and tax policies. This ambitious agenda aims to drive significant changes within the first few months of the session.

Democrats are preparing to announce committee assignments this week, which will influence legislative priorities. Republicans are also expected to name a new Rules Committee chair, impacting how bills are processed in the House. Furthermore, hearings for nominations are anticipated to commence next week, adding another layer to the legislative calendar. The March 14 deadline for government funding looms large, creating urgency for bipartisan cooperation. As the political landscape evolves, stakeholders closely monitor these developments, anticipating a dynamic and impactful legislative period ahead.