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  • G2G

Outlook 2024: Shifting Government Landscape

G2G Consulting shares its outlook for 2024 with Epilepsies Action Network and the epilepsies stakeholders. Note this is current as of this writing in early January.

• More than 30 Members of Congress will exit the House in the next year, opening up at

least 18 seats on exclusive committees like Appropriations, Ways and Means and Energy

and Commerce, all with influential health subcommittees.

• Many health policy-focused leaders are amongst those departing, including House

Appropriations Chair Kay Granger (R-TX)—departing after 28 years, and House E&C Health

Subcommittee Ranking Member Anna Eshoo (D-CA)—departing after 30 years. Senator

Joe Manchin (D-WV)—departing after 14 years—sits on Appropriations and his seat is

expected to switch to a Republican.

• GOP will lose two doctors: Brad Wenstrup (R-Ohio) and Michael Burgess (R-TX), who

have been vocal about health care in the Republican agenda. Both help head the GOP

Doctors Caucus, and Burgess pushed to create the Budget Committee’s health care task


• Lots of uncertainty, as the House is predicted to flip to Democratic control in the next

Congress and Republicans are slightly favored to flip the Senate.

• White House is a toss up with two wars, potential recession in 2024, Trump’s trial, Biden’s

age, and women’s vote all key factors.

For FY25, the FY 2025 appropriations process will likely begin in February/March. Until the next elections, Republicans will retain control of the House and Democrats will retain control of the

Senate. Both chambers will likely face similar challenges to pass the annual spending bills given

the slim majorities.


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