Election Throws Uncertainty Into Lame Duck Package Size, Timing

The increasingly likely prospect that Republicans will retain control of the House -- giving the party a trifecta on the White House and both chambers of Congress -- increases tension between some Republicans who want to punt any substantive legislative action to the new Congress and lawmakers who want to tackle the expiring health care extenders and finish years-long bipartisan work on key health issues like pharmacy benefit manager reform, hospital transparency and more, say lobbyists who expect the plan to come into focus after the congressional leadership elections on Wednesday (Nov. 13).