Full Committee Hearing with Health System CEOs

The Ways and Means Committee Republicans held a full committee hearing on April 28, 2026, with CEOs of major health systems to discuss the affordability and accessibility of healthcare in the United States. The hearing focused extensively on the rising costs of hospital services, the impact of healthcare consolidation, and the financial pressures on rural and urban hospitals. Witnesses from both for-profit and nonprofit health systems testified about challenges including uncompensated care, regulatory burdens, and reimbursement shortfalls from Medicare and Medicaid. Several members raised concerns about hospital pricing practices, facility fees, and the classification of hospitals for Medicare benefits, highlighting issues such as the 340B drug discount program and residency slot allocations. The committee also discussed legislative proposals related to site-neutral payments, prompt and fair payment for Medicare Advantage claims, and increasing graduate medical education slots to address physician shortages. The hearing included debates over the effects of recent tax legislation on healthcare funding and the need for bipartisan solutions to improve competition, transparency, and coverage stability. No specific contract awards or procurement decisions were made during the hearing, but policy discussions could influence future healthcare procurement and funding strategies.