Congressional Republican Priorities

Published December 16, 2024

By AACOM Government Relations

Federal Policy OME Advocate

Both chambers of the 119th Congress will be led by Republicans, whose very narrow majority in the House will make governing difficult. While Senate Republicans will not have 60 votes, they have enough of a margin so that most of President-Elect Trump’s nominees should be approved, particularly with Vice President Vance serving as the 51st tie-breaking vote, as needed. The incoming Republican-controlled Congress has many of the same priorities as President-Elect Trump and is expected to follow his lead on what policies to prioritize for congressional time and action. General areas of agreement include:

  • Reforming federal science, research and public health agencies
  • Ensuring access to care in rural communities
  • Expanding access to substance use disorder treatment and/or mental health services
  • Providing consumers with choice and information to make better healthcare decisions