Speaker Pelosi and Secretary Mnuchin Reach Agreement to Fund the Federal Government

Speaker of the House of Representatives Nancy Pelosi and Treasury Secretary Steven Mnuchin reached an agreement on a Continuing Resolution (CR) to provide level funding for the federal government until December 11, 2020 (H.R. 8337). Previously, negotiations had stalled due to partisan disagreements regarding pandemic-related nutrition assistance and farm aid, both of which were included in the final bill. The House of Representatives passed the CR last night; the Senate is expected to quickly consider the bill.

The CR contains changes to the Medicare Accelerated and Advance Payment (MAAP) Programs (Sec. 2501). The bill extends both the period before repayment begins and the period before the balance must be repaid in full, reduces the recoupment percentage, and lowers the interest rate for payments made under the MAAP Programs and comparable programs between the date of enactment of the CARES Act and the end of the COVID-19 public health emergency.

The bill extends funding for Community Health Centers, National Health Service Corps, and the Teaching Health Centers Graduate Medical Education Program through December 11, 2020 (Sec. 2101), extends the work geographic practice cost index floor at 1.0 for localities currently less than 1.0 until December 11, 2020 (Sec. 2201), and delays Medicaid DSH cuts until December 11, 2020 (Sec. 2303).

The full text of the CR can be found here and a section-by-section summary here.