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Friday, Mar 20 2015

Full Issue

GOP Leaders Unveil New Strategies But Still Face Gridlock

News organizations examine how Senate Majority Leader Mitch McConnell, R-Ky., and House Speaker John Boehner, R-Ohio, are attempting to navigate congressional gridlock within their own caucuses and across party lines.

The battle of wills may foreshadow new nastiness over the coming months as Congress turns to writing a budget, fixing the Medicare payment formula for doctors and shoring up the nation鈥檚 highway system. The emerging bipartisan House solution to the Medicare payment system is already being quietly opposed by Mr. Reid. Unlike Speaker John A. Boehner鈥檚 power in the House, which had seemingly been limited to thwarting Mr. Obama鈥檚 agenda while Democrats controlled the Senate, Mr. McConnell鈥檚 newly won status came with a charge to alter his party鈥檚 image from obstructionists to policy architects in service to its candidate for the White House. (Steinhauer, 3/20)

Speaker John Boehner鈥檚 newest tack is to go big. Over the next week, the Ohio Republican and his top lieutenants plan to jam two big-ticket items through the House 鈥 a show of strength for a leadership team stung by a string of defeats and facing doubts about whether it even can govern. ... First, to get a budget approved, the Republican leaders intend to employ a parliamentary maneuver to boost defense spending by $20 billion without any corresponding spending cuts. They鈥檙e betting the move will help break a stalemate between fiscal hardliners and defense hawks. Within days of that, the GOP leaders will try to pass a permanent fix to the 鈥淪ustainable Growth Rate,鈥 a formula by which the federal government reimburses doctors who serve Medicare patients. (Sherman and Bresnahan, 3/20)

And look who might be making his way onto the campaign trail -

As chairman of the House Budget Committee when Mr. Gingrich was speaker and Bill Clinton was president, Mr. Kasich drove legislation to balance the federal budget. Recently, he wrapped up a six-week national tour, lobbying lawmakers in states like South Dakota and Montana to adopt a constitutional amendment that would require a balanced budget. ... But Mr. Kasich delights in poking his own party. He enraged conservatives by expanding Medicaid under the Affordable Care Act, and quoted the Bible in explaining his decision. (Stolberg, 3/19)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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