HHS Releases FY26 Budget in Brief

July 9, 2025

EGWP marketplace medicaid Medicare

On May 30, HHS released its FY2026 Budget in Brief outlining the Trump Administration’s health policy priorities and proposed funding levels for the upcoming fiscal year. The budget serves as a high-level summary of the department’s mandatory and discretionary spending requests.

For FY2026, HHS is requesting $94.7 billion in discretionary budget authority, a significant reduction from the $130.7 billion requested for FY2025. The proposal includes significant structural changes to federal public health administration. Chief among them is the consolidation of multiple agencies into a new entity, the Administration for a Healthy America.

The FY2026 Budget in Brief reflects a broader shift in federal health policy and strategy, reducing discretionary spending while restructuring core federal public health functions. While implementation details remain limited, the outlined changes suggest a continued emphasis on pairing down federal health operations heading into the following year.

legislation

Virginia and Hawaii Introduce PDAB Legislation

The Virginia Senate introduced a bill to establish a Prescription Drug Affordability Board (PDAB) to review drugs with a wholesale acquisition cost (WAC) of $60,000 or more per year or a WAC increase of $3,000 or more in any 12-month period. For drugs deemed to cause an affordability challenge, the legislation authorizes the PDAB to […]
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February 12, 2026

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Solutions

AHIP Shares Update on Plan Progress to Simplify Prior Authorization

AHIP shared progress on the voluntary, multi-year commitments made by AHIP, BCBSA, and leading health plans (including Cigna Healthcare) to streamline and simplify prior authorization. Health plans serving nearly 270 million Americans are participating in this initiative. The 2026 commitments took effect on Jan. 1 and include: reducing the scope of claims subject to prior […]
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February 12, 2026

EGWP marketplace medicaid Medicare

legislation

DOL Issues Proposed Rule on Improving Transparency into PBM Fees

Pursuant to President Trump’s Executive Order “Lowering Drug Prices by Once Again Putting Americans First,” the Department of Labor’s (DOL’s) Employee Benefits Security Administration (EBSA) issued a proposed rule that would require providers of PBM services and affiliated entities of brokerage and consulting services to disclose direct and indirect compensation to their self-funded ERISA fiduciary […]
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February 12, 2026

EGWP marketplace medicaid Medicare

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