Welcome to the House Committee on Energy and Commerce

WASHINGTON, D.C. – Today, Congressman Morgan Griffith (VA-09), Chairman of the Subcommittee on Health, led a hearing titled  Lowering Health Care Costs for All Americans: An Examination of the U.S. Provider Landscape . During the hearing, we heard members express their concerns with how hospital consolidation and lack of price transparency drive up costs for American patients.  “When provider markets lack competition and transparency, prices can rise without patients having the information needed to make cost-conscious decisions,” said Chairman Griffith.   “Today, we heard from different organizations that represent health care providers across a variety of settings, so that we can continue to look for solutions that make delivering and receiving care more affordable.”   Watch the full hearing  here . Below are key excerpts from today’s hearing: Congresswoman Mariannette Miller-Meeks (IA-01):  “ Today’s hearing is critically important because every policy discussion involves real patients—employers trying to provide health insurance, families trying to afford care, seniors managing chronic conditions, and providers working to keep their doors open in increasingly complex systems. Over the past decade or so, we’ve seen significant consolidation across the health care system—especially after the passage of the Unaffordable Care Act—and particularly among hospitals and large health systems. At the same time, Medicare physician reimbursement has declined by over 30 percent in inflation-adjusted dollars since 2001. If we continue on the current path, we’re not just cutting payments, we are cutting access. In rural Iowa, we don’t have an excess of providers. When one closes, patients have to drive hours for care. A 2 percent to 3 percent cut in Washington can mean the difference between staying open and shutting down in a small town.” Congressman Cliff Bentz (OR-02):  “It almost seems as though the [physician] shortage gives people an excuse to raise prices. Is that the truth?”  Dr. DiGiorgio:  “I agree.”  Congressman Bentz:  “We’ve heard that in other conversations with various groups. And by the way, the remarks about larger systems resulting in higher quality care at less cost, I have to beg to differ. At least in previous conversations, it appeared that there was a focus on those types of things, while ignoring the amount of money being made on the float by delaying care. I asked that question of UnitedHealthcare when they were here. It was discouraging to hear how many billions of dollars are being made on the float, I must say. And that appears to be something we should be focusing upon.” Congresswoman Erin Houchin (IN-09):  “This is the third hearing we’ve had on affordability. I think it may be the most consequential because the provider landscape is where these issues meet real patients. Doctor Aizuss, in your testimony, you note that practice costs rose roughly 63 percent over the same period that Medicare physician payments declined by roughly 33 percent, putting an increasing strain on independent practices and threatening patients’ access to care—particularly in rural parts of the country. From your perspective, how is this sustained gap affecting patients’ ability to access timely, quality care? What specific actions should Congress take to stabilize physician practices and prevent further disruptions?”  Dr. Aizuss:  “As I’ve noted, the decrease in real payment for Medicare services is accelerating independent physicians to close their offices or to sell their practices to private equity or to be employed by large systems. So, the access is definitely impacted by that. People in their own communities can’t access the private practice physician when they want to. And wait times are increasing significantly. The biggest solution, as I keep emphasizing, is having Medicare payment reform tied to the medical economic index with automatic inflationary updates—just like the other providers are receiving.” ###

WASHINGTON, D.C.  – Congressman Richard Hudson (NC-09), Chairman of the Subcommittee on Communications and Technology, delivered the following opening statement at today’s hearing titled Securing U.S. Leadership of Communications Technology . Subcommittee Chairman Hudson’s opening statement as prepared for delivery:  “Good afternoon, and welcome to today’s bipartisan subcommittee hearing examining strategies for the U.S. to lead the future of communications technology.    “This subcommittee has jurisdiction over the National Telecommunications and Information Administration (NTIA) and the Federal Communications Commission (FCC). Both are integral to our nation’s spectrum management policies. The FCC also plays a critical role in overseeing the communications industry. In addition to these domestic agencies, there are also international treaties, meetings, and bodies that help establish global rules that govern these services.  “The International Telecommunication Union (ITU) is the United Nations’ agency responsible for international coordination of communications services. The ITU manages a global table of spectrum allocations reflecting international agreement on identified uses of spectrum frequencies across the world. The ITU also allocates satellite orbits.  “The ITU meets every four years to set its strategy for the next four and hold elections for the organization’s five top officials, the 48-seat Council membership, and 12 Radio Regulations Board members. The ITU also holds the World Radiocommunication Conference every four years to review and update international treaties governing spectrum and satellite orbits.   “WRC-27 is expected to cover a variety of topics, including discussions to identify additional spectrum bands for International Mobile Telecommunications (IMT) service.   “WRC-27 will also feature a number of important agenda items related to the satellite services. The satellite industry has been in a period of robust growth and innovation over the last decade—with the U.S. companies leading much of the world in those developments. Satellite technology plays an increasingly important role in our communications infrastructure, including broadband and other critical services. Satellite communications services have also been transformational for our first responders. In my home state of North Carolina when Hurricane Helene devastated terrestrial-based infrastructure, satellite was able to bridge the gap and keep first responders connected. Demand for these services has resulted in the deployment of thousands of new satellites.   “Satellite-based services are a global enterprise, and these deployments require close coordination with the ITU and other countries.   “Our nation is the world’s economic powerhouse, and we lead the world in innovation. The United States is home to the world’s best technology companies. These companies have led in the creation of new devices and services that we all rely on every day. On our committee, we are working to ensure we continue to lead in new technologies of tomorrow.   “China wants to surpass the U.S. as the global technology leader. Under the rule of the Chinese Communist Party (CCP), China has subsidized and stolen technology across a wide range of industries, including communications technologies. CCP-affiliated companies like Huawei (Waah-way) have exported communications equipment around the world, giving support to the CCP’s espionage activities.   “The CCP also seeks to sideline the United States in international telecommunication and technology standards bodies. If successful, our allies and partners around the world may increasingly turn to CCP-linked entities for telecommunications and satellite solutions, and digital services. This is bad for American businesses, bad for Americans who rely on these devices and services in their daily lives, and ultimately undermines our economic and national security.   “The CCP notched another win in this column last year when the ITU announced it would hold the 2027 World Radiocommunications Conference (WRC-27) in Shanghai, China. As the host country, China will serve as chair of the conference, allowing the CCP to steer these critical discussions.   “Given this, the U.S. should be an active participant in all upcoming ITU engagements. As I mentioned, WRC-27 will consider a number of agenda items related to communications services, including spectrum allocations. Key decisions will be made at these meetings to establish technical rules for communications technologies.   “I look forward to hearing from the witnesses today about what is at stake in these upcoming engagements and what success looks like for the United States.” ###

WASHINGTON, D.C. – Congressman John Joyce, M.D. (PA-13), Chairman of the Subcommittee on Oversight and Investigations, delivered the following opening statement at today’s hearing titled Protecting Patients and Safeguarding Taxpayer Dollars: The Role of CMS in Combatting Medicare and Medicaid Fraud. Subcommittee Chairman Joyce’s opening statement as prepared for delivery: “Good afternoon, and welcome to today’s hearing titled, ‘Protecting Patients and Safeguarding Taxpayer Dollars: The Role of CMS in Combatting Medicare and Medicaid Fraud.’ “Today, we are continuing the Subcommittee’s ongoing examination of Medicare and Medicaid fraud. “Kim Brandt from the Centers for Medicare and Medicaid Services is here today to discuss the very real, and very harmful issues that we know address both Medicare and Medicaid fraud that are occurring right now across the United States and what CMS is doing to address this widespread fraud. “In Medicare, sectors such as durable medical equipment, genetic testing, skin substitutes, home health, and hospice are all experiencing high rates of fraud. “In Medicaid, schemes are running rampant in a variety of programs, from non-emergency medical transportation to personal care services, autism therapy, and substance use disorder treatment. “These crimes are despicable, yet we are seeing them occur time and time again across the country. In Minnesota, it’s Medicaid ABA services. In California, it’s Medicare hospice services. In Florida, it’s Medicare durable medical equipment. Once caught, fraudsters might be stopped, but they are always looking for their next scheme. The tentacles of these criminal schemes are long, and they reach into many different areas of health care. “And many of these fraud schemes target vulnerable individuals, such as the elderly, individuals with disabilities, the homeless, and people struggling with substance abuse disorders. Moreover, taxpayers are being defrauded of outrageously large amounts of money. Pennsylvania’s Governor Josh Shapiro, during his time as Pennsylvania’s Attorney General, stated at a 2020 press conference, ‘It’s possible, no, likely, that Pennsylvania is losing $3 billion a year to fraud.’ And that’s just one state, and that’s just in one year. “For too long, states have been permitted to run Medicaid programs with weak guardrails, making them easy targets for criminals to exploit. While states do have a duty to steward federal and state taxpayer dollars responsibly, it is federal oversight that is necessary to root out systemic fraud. “As President Trump made clear during his recent State of the Union address and executive order establishing the Anti-Fraud Task Force, he is serious about the ‘War on Fraud.’ Under the leadership of Vice President and “antifraud czar,” J.D. Vance, and under the leadership of Dr. Mehmet Oz, this administration is taking bold steps to stop this fraud—more than any other presidential administration before it. “It is critical that fraud in government health care programs like Medicare and Medicaid are addressed to ensure there are adequate funds to maintain these programs for those who are in need and not for fraudsters to steal. “As this Committee builds upon Medicaid program integrity efforts that we advanced last year in H.R. 1, it is important that we continue to identify ways to address fraud to secure the financial stability and longevity of these programs. “The elderly, individuals with disabilities, pregnant women, and children all rely on these programs to receive the health care that they need, and the health care they deserve. We owe it to them to protect and preserve these programs, rather than allowing them to serve as a gold mine for criminals. “I want to thank Deputy Administrator Brandt for being here today. We are looking forward to hearing about the important work that you and your team are already doing at CMS under the leadership of Administrator Dr. Mehmet Oz to protect and preserve Medicare and Medicaid. “With that, I now recognize our Ranking Member of the Subcommittee, Ms. Clarke, for her opening statement.”

WASHINGTON, D.C.  – Today, Congressman Brett Guthrie (KY-02), Chairman of the House Committee on Energy and Commerce, and Congressman Frank Pallone, Jr. (NJ-06), Ranking Member of the House Committee on Energy and Commerce, sent a letter to President Donald J. Trump urging coordination across agencies to establish clear, unified positions for the 2027 World Radiocommunication Conference (WRC-27) in Shanghai, China. KEY EXCERPTS: “We appreciate that, despite the location and the inevitable challenges that come with it, your Administration recognizes that the United States should remain an active participant in this conference. Participants will make key decisions that will establish the spectrum bands and technical rules for next-generation communications technology, including 6G, for the satellite and commercial mobile radio industries.” […] “To ensure our best opportunity for success at WRC-27, it is essential that our nation coordinates across all federal agencies and with the private sector to establish clear, unified positions for WRC-27.” […] “Failing to establish clear national positions on these matters risks undercutting our own advocacy and giving the PRC the upper hand.” Background: Under CCP leadership, the PRC has made significant strides in their quest to overtake the United States as the world’s technology leader by subsidizing and stealing technology across a wide range of industries, including communications technologies, all of which puts Americans at risk. The International Telecommunication Union (ITU)—who will host WRC-27—is responsible for international coordination of communications services, including global spectrum allocations and satellite orbits. The ITU’s Plenipotentiary Conference takes place later this year and will oversee the election of multiple positions within the organization, including Secretary-General, the 48-seat Council that governs the ITU, and 12 Radio Regulations Board members. CLICK HERE   to read the full letter. ###

WASHINGTON, D.C. – Congressman Brett Guthrie (KY-02), Chairman of the House Committee on Energy and Commerce, Congressman John Joyce, M.D. (PA-13), Chairman of the Energy and Commerce Subcommittee on Oversight and Investigations, and Congressman Morgan Griffith (VA-09), Chairman of the Energy and Commerce Subcommittee on Health, are continuing their ongoing investigation into waste, fraud, and abuse within Medicaid programs by sending letters to ten additional states to request information and documents on the actions each state is taking to strengthen Medicaid program integrity. These requests come amidst reports and law enforcement actions that have demonstrated high levels of Medicaid fraud across numerous states. For example, in Massachusetts, a woman pleaded guilty to fraudulently billing MassHealth for $500,000 in Personal Care Attendant, home health, and adult foster care services after enrolling disabled, elderly, and homeless people in services without their knowledge or consent and billing Medicaid as their caretaker despite not providing these services. In Colorado, two individuals were charged in separate cases for defrauding Health First Colorado’s non-emergency medical transportation (NEMT) program. The first defendant allegedly billed over $1 million in NEMT rides—$400,000 of which were billed for rides for herself and family members, and most of which were not associated with transportation to medical appointments. The second defendant billed Health First Colorado for $3.3 million in NEMT rides, including $283,000 for 64 rides for a single beneficiary, $165,000 of which occurred after the beneficiary had died. In Oregon, a woman was sentenced to federal prison for using stolen identities to submit fraudulent health care claims to Oregon’s Medicaid Program, totaling over $3 million and triggering $1.5 million in fraudulent Medicaid reimbursements. In New York, two individuals involved in a Brooklyn-based scheme involving adult day cares and home health  pleaded guilty   to $68 million in Medicaid fraud over a seven-year period. In addition, two men in Queens who owned adult daycare centers and a pharmacy  were recently charged  with $120 million in alleged Medicaid and Medicare fraud schemes. This included illegal kickbacks to Medicaid recipients to fill prescriptions at their pharmacies and enroll in their adult day care. It’s no secret that Medicaid fraud schemes have possibly cost the program billions of dollars annually across the country. These schemes contribute greatly to rising health care costs and strain our health care system, all at the expense of Medicaid beneficiaries and taxpayers. The Committee on Energy and Commerce is committed to rooting out waste, fraud, and abuse in our government health programs like Medicaid to ensure Americans who need them get the quality, affordable care they deserve. Chairmen Guthrie, Joyce, and Griffith issued the following statements regarding the ongoing investigation: “Fraud shouldn’t be a partisan issue. It's our most vulnerable Americans who are most at risk from fraudsters diverting precious resources intended for critical, needed care , ” said Chairman Guthrie. “ We owe it to our fellow Americans to preserve the Medicaid program for those that need it most, and states have an important role to play in ensuring that Medicaid programs operate with integrity. The Committee will continue to combat rampant waste, fraud, and abuse across the entire country.” "Medicaid was established to ensure the most vulnerable Americans are never left behind. That is why fraud and abuse within Medicaid will not be tolerated. Medicaid fraud robs both taxpayers and patients, and we will pursue it wherever it hides," said Rep. John Joyce, M.D. "Expanding this investigation is part of our responsibility in Congress to ensure that the government upholds the standards it was created to serve. Our Committee will work diligently to strengthen the integrity of the Medicaid system and to ensure that those who engage in fraudulent misuse or abuse are held fully accountable." “Americans support federal health care programs that serve American communities, not fraudsters! Led by the House Committee on Energy and Commerce, this latest series of letters is the next step in our investigations to protect our social safety net programs and secure them for the most vulnerable Americans,” said Rep. Griffith. “Republicans in Congress will continue to do the necessary legwork to investigate allegations of waste, fraud and abuse within our Medicaid system.” BACKGROUND: In January, Congressman Brett Guthrie (KY-02), Chairman of the House Committee on Energy and Commerce, Congressman John Joyce, M.D. (PA-13), Chairman of the Energy and Commerce Subcommittee on Oversight and Investigations, and Congressman Morgan Griffith (VA-09), Chairman of the Energy and Commerce Subcommittee on Health, wrote to Minnesota Governor Tim Walz and the Temporary Commissioner of Minnesota’s Department of Human Services, Shireen Gandhi, requesting communications, documents, and information to better understand the ongoing Medicaid fraud occurring in the state of Minnesota and actions the state is taking to strengthen program integrity. On February 3, the Subcommittee on Oversight and Investigations held a hearing titled Common Schemes, Real Harm: Examining Fraud in Medicare and Medicaid . During this hearing, expert witnesses testified on common examples of Medicaid fraud schemes and the potential scale of fraud in Medicaid programs nationwide. Now, as part of the Committee’s ongoing efforts to address Medicaid fraud, the Committee sent letters to CA , CO , MA , ME , NE , NY , OR , PA , VT , and WA . Each of these states displayed concerning cases of Medicaid fraud over the last several years. The purpose of this investigation is to assess the extent of fraud in state Medicaid programs and understand what states are doing to address the issue and protect the integrity of Medicaid for Americans. Read More About this Ongoing Investigation: CLICK HERE to read the New York Post's exclusive coverage of the letter.

WASHINGTON, D.C. – Today, Congressman Brett Guthrie (KY-02), Chairman of the House Committee on Energy and Commerce, Congressman John Joyce, M.D. (PA-13), Chairman of the Subcommittee on Oversight and Investigations, and Congressman Gary Palmer (AL-06), Chairman of the Subcommittee on Environment sent a letter to David Gadis, the Chief Executive Officer of DC Water requesting information on the failures that led to the spill in the Potomac River and what steps are being taken to ensure it is contained. “The Committee has concerns about how this incident will impact public health, safe drinking water, the environment, interstate commerce, and tourism, all of which fall within the Committee’s jurisdiction,” said Chairmen Guthrie, Joyce, and Palmer. “DC Water is responsible for delivering drinking water and wastewater services to communities in Maryland, Virginia, and the District of Columbia (DC), as well as the federal government, including operation and maintenance of the 54-mile Potomac Interceptor line. The Committee is requesting documents and information from DC Water about what is already being referred to as ‘one of the largest sewage spills in U.S. history.’” Key excerpt from the letter: “Public health warnings have been given for people and pets to avoid contact with water from the Potomac River and to avoid fishing, rowing, and other activities in the area.The warnings to avoid the contaminated water come shortly before the annual Cherry Blossom Festival, which is centered around the Tidal Basin along the Potomac River, and the celebration of the 250th anniversary of the signing of the Declaration of Independence, both of which are expected to attract millions of visitors to the District of Columbia. “An incident of this size and scale presents a significant threat to the public health and welfare of the affected communities, and swift mitigation of these risks is critical. Understanding the nature of how this incident occurred and how future incidents of this scale may be prevented in the future is imperative.” CLICK HERE to read the full letter. BACKGROUND: The letter comes as Washington, DC, Virginia, and Maryland residents continue to deal with the fallout of the spill that occurred on January 19, 2026, and now has resulted in e. coli levels at the spill site measuring at hundreds of times above EPA safety thresholds. As part of its oversight authority, the Committee is requesting information on what DC Water knew about the risk of a potential spill prior to January, documents discussing why emergency contracting was warranted to repair the pipe, why any approved contracts were not implemented, as well as actions DC Water has taken to address the environmental impacts of the spill.