MACPAC Releases March 2026 Report Recommending Wage Transparency for Medicaid Home Care Workers

• The EPA issued a final rule on February 27, 2026, adding sodium perfluorohexanesulfonate (PFHxS-Na) to the list of chemicals subject to toxic chemical release reporting under the Emergency Planning and Community Right-to-Know Act. • The rule implements a mandate from the National Defense Authorization Act for Fiscal Year 2020 and requires reporting for chemicals subject to the Pollution Prevention Act beginning with reporting year 2026. • The final rule becomes effective March 30, 2026, and the EPA determined notice-and-comment rulemaking was unnecessary as the action conforms regulations to Congressional legislative mandate.

• The Senate passed H.R. 6644, the 21st Century ROAD to Housing Act, on March 12, 2026, with a bipartisan vote of 89 to 10, combining housing supply and community investment measures. • The bill includes provisions to raise caps on bank community development investments, update the definition of manufactured housing to include modular and prefabricated homes, and restrict large institutional investors from purchasing single-family homes. • The White House Office of Management and Budget issued a statement strongly supporting the Senate amendment and indicating the president's advisors would recommend signing it into law if presented in its current form.

• The House scheduled multiple environmental and natural resource bills for floor consideration under suspension of the rules during the week of March 16, 2026, including forest restoration and park management legislation. • Bills on the schedule include the Post-Disaster Reforestation and Restoration Act of 2025, Save Our Sequoias, the Chiricahua National Park Act, and the Lower Colorado River Multi-Species Conservation Program Amendment Act. • The legislation also includes the DIGITAL Applications Act, the Small Cemetery Conveyance Act, and the Shivwits Band of Paiutes Jurisdictional Clarity Act, reflecting bipartisan work on diverse policy issues.

• A federal judge in Massachusetts ruled on Monday to block Health Secretary Robert F. Kennedy Jr.'s recent changes to the nation's childhood vaccine schedule, following a lawsuit by the American Academy of Pediatrics and other medical groups. • The plaintiffs argued that Kennedy's alterations to vaccine recommendations and the influential vaccine advisory committee violated federal law, marking a significant setback to his health policy agenda. • This ruling highlights ongoing tensions between the Department of Health and Human Services and medical organizations over public health guidelines and federal compliance.

• Senate Majority Leader John Thune initiated a prolonged floor debate on the SAVE America Act, a bill imposing strict voter registration rules, potentially lasting days or weeks amid unified Democratic opposition. • Republicans hold 53 seats but need 60 votes to advance the legislation, which passed the House earlier; President Trump warned he would never endorse any Republican voting against it. • The talkathon aims to force Democrats on record while Trump pushes to scrap the filibuster, though Thune lacks the votes; Sen. Mike Lee noted efforts will be determined in real time.

• Republican candidates are encountering challenges mobilizing voters for the 2026 midterm elections as President Trump continues promoting claims about election integrity and potential fraud, creating messaging conflicts. • NPR analysis indicates that the more Trump emphasizes election rigging or claims Democrats will win despite Republican efforts, the harder it becomes to energize GOP voters who may grow discouraged or cynical about electoral outcomes. • Political observers note that voters are already highly polarized, making traditional persuasion efforts difficult, while Republican turnout could suffer if messaging emphasizes electoral vulnerabilities rather than party strength and accomplishments.

• President Trump has warned NATO and China amid an ongoing Iran war that reached its 17th day, with the conflict affecting shipping through the Strait of Hormuz and creating economic ripple effects. • Trump told the Financial Times the U.S. "may delay" a scheduled summit with Chinese President Xi Jinping in less than three weeks if the strait situation is not resolved, potentially impacting trade negotiations led by Treasury Secretary Scott Bessent. • Middle East experts indicate the war is progressing favorably for the U.S. militarily but facing challenges in other dimensions, with the shipping bottleneck threatening to disrupt global trade during a critical period of U.S.-China relations.

• Senator Markwayne Mullin (R-Okla.) is President Trump's nominee to lead the Department of Homeland Security, inheriting issues like immigration enforcement disputes, disaster response backlash, and a monthlong DHS funding lapse due to Democratic demands for ICE reforms. • Democrats seek bans on masks for deportation officers, end to roving patrols, and judicial warrants for home entries, while Republicans resist; Mullin must balance mass deportation pressures versus targeted enforcement on criminals, per former ICE acting director John Sandweg. • Mullin's congressional ties to Speaker Mike Johnson and Majority Leader John Thune position him to ease funding battles, with Thune calling it the 'change Democrats wanted,' though Sen. Brian Schatz (D-Hawaii) insists reforms go beyond leadership swaps.

• Sen. Lindsey Graham filed for a fifth term on Monday in South Carolina, linking his campaign to President Trump's war with Iran, which he has long advocated for. • Speaking to supporters, Graham claimed 'We haven’t underestimated Iran at all. We’re crushing them,' after recent talks with Trump on Sunday and Monday. • The conflict drives up oil prices and lacks a clear endgame, risking unpopularity amid midterm elections where Congress control is at stake.

• The U.S. Supreme Court agreed on Monday to hear arguments over the Trump administration's effort to terminate temporary protected status (TPS) for migrants from Haiti, Syria, and other nations fleeing war and disasters. • Lower courts had blocked the end of protections allowing TPS holders to live and work legally in the U.S., prompting a Justice Department appeal. • The justices declined to immediately lift the protections, delaying action until hearings in coming weeks, following their prior ruling exposing 600,000 Venezuelans to deportation.

• President Donald Trump launched a series of social media posts on Sunday night criticizing the U.S. Supreme Court as having 'RANSACKED' the country after it rejected his tariffs decision. • Trump acknowledged potential backlash, stating 'This statement about the United States Supreme Court will cause me nothing but problems in the future, but I feel it is my obligation to speak the TRUTH,' amid broader losses including failed prosecutions and coalition splits over Iran war. • The outbursts highlight Trump's frustration with judicial setbacks, such as U.S. District Judge James Boasberg tossing a grand jury subpoena against Fed Chair Jerome Powell on Friday.