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E&C is at the forefront of all issues and policies powering America’s economy, including our global competitive edge in energy, technology, and health care.

Established

December 14, 1795

30

Members

6

specialized subcommittees

The Latest

From the Committee

Aug 5, 2026

Press Release

Chairmen Guthrie and Joyce on the Decertification of Kentucky OPO Following Months of Congressional Oversight

WASHINGTON, D.C. - Today, Congressman Brett Guthrie (KY-02), Chairman of the House Committee on Energy and Commerce, and Congressman John Joyce, M.D. (PA-13), Chairman of the Energy and Commerce Subcommittee on Oversight and Investigations, issued the following statements following the Department of Health and Human Services' (HHS) decision to decertify Network for Hope - the Organ Procurement Organization (OPO) covering Kentucky and parts of Ohio, West Virginia, and Indiana.

"Thanks to the steadfast oversight efforts of Secretary Kennedy and our robust oversight on the House Committee on Energy and Commerce, decisive action has been taken to protect American patients and families," said Chairman Guthrie. "We have conducted rigorous oversight of the alarming practices in our organ procurement and transplantation system, and the American people deserve to have an organ procurement and transplantation system that they can trust. This action takes a step forward in restoring integrity back to that system."

"Serious deficiencies in Network for Hope's organ procurement process were brought to light through the work of our Oversight and Investigations Subcommittee," said Chairman John Joyce, M.D. "Despite subsequent efforts by HHS to address these issues, concerns remain about Network for Hope's ability to safely carry out its duties as an OPO. Therefore, I applaud HHS for taking decisive action to initiate the decertification process against the organization. I want to express my gratitude to Secretary Kennedy, Administrator Engels, and Administrator Oz for their attention to this important issue and their recognition of this necessary action following our oversight efforts, including last year's hearing that centered on our concerns regarding Network for Hope. As the process moves forward, I urge Network for Hope to fully cooperate with HHS to ensure that patients and their safety are prioritized throughout the decertification process and the selection of a new OPO to take over Network for Hope's donor service area."

BACKGROUND:

During the 118th Congress, the Committee on Energy and Commerce led the passage of the Securing the U.S. Organ Procurement and Transplantation Network Act to both modernize the Organ Procurement and Transplantation Network (OPTN) and allow HRSA to institute a competitive contracting process to find the best contractors for various OPTN functions. This legislation was signed into law on September 22, 2023.
On March 20, 2024, the Committee launched an investigation into the organ procurement and transplantation system by sending a letter to United Network for Organ Sharing (UNOS) requesting information related to concerns surrounding data security and operability, patient safety and equity, and conflicts of interest.
On March 20, 2024, the Committee also sent a letter to HRSA requesting information related to implementation of the Securing the U.S. Organ Procurement and Transplantation Network Act as well as other concerns related to effective oversight and management.
On September 11, 2024, the Subcommittee on Oversight and Investigations held a hearing that focused on the implementation of reforms at the OPTN, including the need for stronger oversight and accountability as well as ongoing patient safety concerns.
- During the hearing, questions were raised related to allegations of mismanagement and patient safety concerns after patients began exhibiting signs of increased neurologic function after being previously deemed suitable as an organ donation candidate. Several of these allegations, particularly those related to patient safety, were later substantiated through the findings contained in HRSA's March 2025 report.
On March 24, 2025, HRSA's Division of Transplantation issued a report that summarized the findings of its investigation into KYDA, the OPO now known as Network for Hope, which serves Kentucky and parts of Ohio, West Virginia, and Indiana.
- HRSA's investigation examined an "index case" and an additional 351 unique cases of authorized, not recovered (ANR) patients. This means that the patients were considered for donation after circulatory death recovery, but no organs were transplanted. The report showed that nearly 30 percent of the cases "had concerning features." The concerning features included problems with patient-family interactions, medical assessments and team interactions, recognition of high neurologic function, and recognition and documentation of drugs in records.
On May 28, 2025, HRSA issued a corrective action plan to the OPTN, which directed the OTPN to take specific actions within a specified period of time, including developing a 12-month OPTN monitoring plan for KYDA to address concerns identified. The corrective action plan also requires the OPTN to propose policies for public comment to improve safeguards for potential donation after circulatory death (DCD) patients in the organ procurement process and increase information shared with patient families regarding DCD organ procurement.
On July 22, 2025, the House Committee on Energy and Commerce's Subcommittee on Oversight and Investigations held a hearing examining concerning practices within our nation's organ procurement and transplant system that were identified by HRSA's investigation.
On September 12, 2025, the Committee sent a bipartisan letter to the HRSA requesting a briefing on its ongoing oversight of patient safety in our nation's organ procurement and transplant system.
On November 17, 2025, Chairmen Guthrie and Joyce sent a letter to CMS requesting a briefing to better understand HHS' recent actions and ongoing work to enhance safety within the organ procurement and transplantation system.

More News & Announcements

Jul 29, 2026

Press Release

Congressional Leaders Get Answers from CBO on Unbudgeted IRA Costs and Multibillion-Dollar Spending Revisions

WASHINGTON, D.C. - Today, the Congressional Budget Office (CBO) responded to a May 20, 2026 letter, authored by Congressman Brett Guthrie (KY-02), Chairman of the House Committee on Energy and Commerce, Congressman Jason Smith (MO-08), Chairman of the House Committee on Ways and Means, and Congressman Jodey Arrington (TX-19), Chairman of the House Committee on the Budget, seeking further explanation for CBO's dramatic upward revision of Medicare Part D spending. Chairmen Guthrie, Smith, and Arrington issued the following statements in response to CBO's findings:

"Earlier this year, CBO's baseline update projected significantly higher costs for Medicare Part D, including an estimated $700 billion in additional Medicare prescription drug spending over the next decade," said Chairman Guthrie. "In response to the May letter I sent, alongside Chairmen Arrington and Smith, CBO highlighted how the problematic design of the Inflation Reduction Act (IRA) has not led to the savings CBO originally projected but has instead led to increased costs for taxpayers and instability in the Part D marketplace. The Part D program is critical to meeting seniors' needs and requires durable regulatory policies to ensure the long-term affordability and availability of prescription drug plans for these beneficiaries."

"Washington Democrats' Inflation Expansion Act was yet another costly promise that failed to deliver lower prices for seniors. Democrats promised lower prescription drug prices, but the Congressional Budget Office is once again confirming that their policies instead increased costs for America's seniors and taxpayers by an additional $700 billion while offering 50% fewer drug plans for them to choose from. Plain and simple, Democrats have made it harder for seniors to afford prescription drugs," said Chairman Smith. "Because of these misguided policies, Americans are paying more for health care than ever before while facing fewer choices and less access to care in return. Meanwhile, powerful health care empires continue to benefit from government-created distortions, loopholes, and misaligned incentives that reward higher spending instead of better outcomes. The Ways and Means Committee will continue fighting to hold these empires accountable, expand access to care, and lower costs - not help powerful interests that have benefited from the status quo."

"The Congressional Budget Office's (CBO) new analysis confirms what Republicans sounded the alarm on for years: The drug pricing scheme in the Inflation Reduction Act fails to deliver the savings Democrats promised. CBO originally estimated these policies would save taxpayers $129 billion. Instead, CBO now confirms the IRA's misguided policies were the major driver behind higher projected Part D expenditures, contributing to a $700 billion deficit increase," said Chairman Arrington. "We have once again confirmed that Democrats, with CBO's analysis in hand, sold the American people a false bill of goods in the Inflation Reduction Act. Combined with the Joint Committee on Taxation's $600 billion miscalculation of the cost of the Green New Deal tax credits, we now know the IRA cost Americans $1.3 trillion more in new deficit spending. Today, taxpayers are left holding the bag due to Democrats' failed experiment in price fixing and their green new deal climate agenda."

BACKGROUND:

On May 20, 2026, Chairmen Guthrie, Smith, and Arrington penned a letter to CBO regarding its updated scoring of the IRA and updated Part D outlay projections.
This revision includes an approximately $700 billion increase in projected Medicare Part D outlays and shows that Part D spending per beneficiary in 2035 is now projected to be more than $4,000.
The Government Accountability Office (GAO) confirmed that the Biden-Harris administration's "Premium Stabilization Demonstration" under Medicare spent $9.8 billion on premium stabilization.
On July 28, 2026, the Centers for Medicare & Medicaid Services announced the conclusion of the Part D Premium Stabilization Demonstration, discontinuing the demonstration at the end of CY 2026 to return the program to operating under traditional market conditions in CY 2027.
On July 29, 2026, CBO responded to the Congressional leaders' inquiry, providing additional information on CBO's original estimates and current projections of the drug pricing provisions enacted in the IRA, as well as projections about Part D spending growth in the next decade.
According to the Medicare Payment Advisory Commission (MedPAC), the average number of stand-alone prescription drug plans available to beneficiaries in 2025 was 14, the lowest number since Part D began.
MedPAC has also noted a decline in recent years in the average number of benchmark plans, which are $0 premium plan options for beneficiaries receiving the low-income subsidy.

Jul 23, 2026

Press Release

ICYMI: “Lawmakers target energy affordability through sweeping permitting overhaul in new House bill”

WASHINGTON, D.C. - In case you missed it, Fox News recently reported that Congressman Brett Guthrie (KY-02), Chairman of the House Committee on Energy and Commerce, released a discussion draft of the POWER Act, a combination of 19 Republican measures focused on lowering energy costs, strengthening grid reliability, and speeding up the construction of new energy projects to deliver affordable and reliable energy for all Americans.

In Case You Missed It:

"FIRST ON FOX: House Republicans are staking out their position as congressional permitting talks heat up with a sweeping legislative package aimed at lowering energy costs, strengthening grid reliability and speeding up the construction of new energy projects.

"House Energy and Commerce Committee Chairman Brett Guthrie, R-Ky., will introduce the 96-page 'Permitting Our Way to an Energy Resurgence (POWER) Act' on Wednesday, describing it as a 'discussion draft' as the panel continues to hear feedback from lawmakers and industry stakeholders.

"The measure combines nearly 20 Republican proposals that would streamline approvals for pipelines, transmission lines, power plants and manufacturing projects while addressing rapidly growing electricity demand tied to artificial intelligence data centers.

"Beyond permitting, the mammoth legislation seeks to shield ratepayers from price hikes by requiring data centers to bear the costs of grid upgrades.

"The legislation would also give dispatchable power plants priority over intermittent sources such as wind and solar in interconnection queues, expand federal regulators' authority to keep power plants online and overhaul portions of the Clean Air Act.

"'To win the race to AI dominance, onshore jobs, and deliver reliable and affordable power for families, America needs a permitting system that works for their communities,' Guthrie said in a statement obtained by Fox News Digital.

"'The POWER Act cuts the red tape holding back American energy, protects hard-working families from higher electricity costs, and keeps the lights on for generations to come,' he continued.

"Guthrie said the energy package is the result of months of collaboration among GOP members across the committee.

"'For too long, burdensome regulations that fail to meet the moment have held back American innovation and growth,' he said. 'I'm proud to introduce commonsense legislation that will make energy more affordable for every American.'

"The legislation's introduction comes as bipartisan negotiations over permitting reform have long proven elusive, despite widespread acknowledgment of the need for reforms to the federal government's complex permitting process.

"It is unclear whether House GOP leaders will bring Guthrie's package to the floor before the midterm elections. Lawmakers have less than two dozen legislative days left on the calendar heading into November.

"Among the package's most consequential provisions is legislation from Rep. Troy Balderson, R-Ohio, that would check the federal government's ability to issue far-reaching environmental regulations.

"His measure requires federal agencies to submit major actions affecting electricity generation to the Federal Energy Regulatory Commission for review to ensure they do not negatively impact grid reliability.

"Republicans say Balderson's Reliable Power Act is intended to ensure burdensome regulations from agencies such as the Environmental Protection Agency do not jeopardize the nation's power supply.

"Another marquee proposal, authored by Rep. Gabe Evans, R-Colo., would require large commercial electricity users, including data centers, to front the full cost of infrastructure upgrades.

"The provision effectively codifies Trump's 'ratepayer protection pledge,' under which large companies committed not to pass data center development costs on to everyday consumers through utility rate hikes.

"'America must build the energy infrastructure necessary to win the global AI race and outcompete adversaries like Communist China - but hardworking families should never be forced to subsidize that growth through higher electric bills,' Evans said Wednesday after the measure advanced out of committee with bipartisan support as a standalone bill."

"The package also includes several other long-standing GOP energy priorities, including Evans' FIRE Act, which would shield states from Clean Air Act penalties tied to wildfire prevention efforts such as prescribed burns and brush clearing."

Jul 23, 2026

Press Release

ICYMI: Chairman Guthrie Joins Fox Business Network to talk AI Policy and the Ratepayer Protection Act

WASHINGTON, D.C. - This week, Congressman Brett Guthrie (KY-02), Chairman of the House Committee on Energy and Commerce, joined Fox Business' "The Bottom Line" to discuss AI policy, data centers, and the Ratepayer Protection Act.

Chairman Guthrie on The Ratepayer Protection Act and data centers:

"Well, so here's the issue, we're competing with China, so a lot of people are focused on

data centers, and that's important, but we've been talking to stakeholders, and we have to beat

China to control the information that flows around the world.

"Either our values are going to control it or Chinese totalitarian values are going to control it.

"In order to win the AI battle, we have to have access to data in the data centers. So we've talked to stakeholders that do AI, but the most important stakeholders to us are our constituents. We don't want them to have to foot the bill.

"And so what we do is direct federal resources to help states put in place their Ratepayer Protection Pledge, so it's not a federal government one size fits all.

"But there's been these calls for moratoriums. You just said you had New York State on earlier … They've also passed a moratorium, which just isn't helpful.

"We're about six months ahead of China and AI, people predict. If we had a year moratorium, let's say that's nationwide, and we get behind China, we'll never catch up.

"And it'll just continue to, it will continue China's march to be a superpower that we have to defend."

Chairman Guthrie on New York's data center moratorium:

"We have a big [data center] coming to Kentucky, but we need, what we're trying to do is, at the federal level, help states implement their Rate Payer Protection Pledges at the state level.

"So we're not sending a federal statute out, we're assisting states to do so. And you're right, Kathy Hochul, Governor Hochul, served in Congress with me when she was here. When she signed the executive order for the moratorium, she said, 'well, our energy rates are already too high, so why add data loads on?'

"Well, the reason they're too high is exactly what Secretary Burgum said, but the other thing is, I went to school in New York, I actually went to West Point back in the day, and if you get above New York City, there's a lot of communities that have struggled. It's the old kind of Great Lakes Rust Belt in some of those areas. And I'm not a New Yorker, and let those businesses come to my area, we welcome that, but it's really not fair to people in those communities that are economically disadvantaged to say if this is the industry of the future, which many people predict it will be, just think the state of New York has decided to take itself out of the ballgame.

"But Kentucky, we have local communities that decided not to participate in data centers. I think that's their right to do so. But as a state, we have communities, one in my district is getting a $19 billion, 20-year investment for Anthropic it's going to completely change economically that community. The school system in that community will be the wealthiest school system per capita in the Commonwealth. And I predict that other county officials in other states are going to be looking at that area to say, 'Wow, how can we participate in that as well?' But we don't want the local citizens footing the bill. We want the data centers doing that."

Chairman Guthrie on economic advantages of data centers

"Well, the county executive, Judge Robertson, in that area is a good friend of mine, and he's talking about doing exactly what you say. There's probably going to be a billion dollars' worth of property value, not property tax revenue, of property value. It'll almost double the value of the property in that community. So they are looking at opportunities to give refunds back.

"They're putting it in an old aluminum smelter site, and there's also a 3% utility tax, so think of taking about a gigawatt of power, but the smelter was there, and I remember asking him, 'Is this replacing revenue you already had?' He goes, 'Oh, no, look how industrial America, you know, you go to Frankfort, Governor Beshear, and you get a tax break. They weren't paying these taxes.'

"So our old industrial America's model is you go to the state, you get tax breaks, you get everything abated, and we'll keep the jobs here as long as you keep giving us the tax breaks. The smelter left, the data centers come, and it's going to pay its full bill.

"And if data centers don't pay its full bill, I would tell communities not to bring them in because there are enough businesses that need the data centers that are willing to pay what is fair, and the communities are going to, instead of paying, the communities are going to actually benefit.

Trending Subcommittees

Full Committee

4 Updates

Energy

4 Updates

National Energy Policy, energy infrastructure and security, energy related Agencies and Commissions, all laws, programs, and government activities affecting energy matters. National Energy Policy focuses on fossil energy; renewable energy; nuclear energy; energy conservation, utility issues, including but not limited to interstate energy compacts; energy generation, marketing, reliability, transmission, siting, exploration, production, efficiency, cybersecurity, and ratemaking for all generated power. Energy infrastructure and security focuses on pipelines, the strategic petroleum reserve, nuclear facilities, and cybersecurity for our nation’s grid. Our jurisdiction also includes all aspects of the above-referenced jurisdiction related to the Department of Homeland Security. Agencies and Commissions in our jurisdiction include: The US Department of Energy, the Nuclear Regulatory Commission; and the Federal Energy Regulatory Commission.

Commerce, Manufacturing, and Trade

2 Updates

Interstate and foreign commerce, including all trade matters within the jurisdiction of the full committee; consumer protection, including privacy matters generally; data security; motor vehicle safety; regulation of commercial practices (the Federal Trade Commission), including sports-related matters; consumer product safety (the Consumer Product Safety Commission); product liability; and regulation of travel, tourism, and time. The Subcommittee’s jurisdiction can be directly traced to Congress’ constitutional authority “to regulate Commerce with foreign nations, and among the several States, and with the Indian Tribes.”

Communications & Technology

4 Updates

Electronic communications, both Interstate and foreign, including voice, video, audio and data, whether transmitted by wire or wirelessly, and whether transmitted by telecommunications, commercial or private mobile service, broadcast, cable, satellite, microwave, or other mode; technology generally; emergency and public safety communications; cybersecurity, privacy, and data security; the Federal Communications Commission, the National Telecommunications and Information Administration, the Office of Emergency Communications in the Department of Homeland Security; and all aspects of the above-referenced jurisdiction related to the Department of Homeland Security.

Environment

4 Updates

All matters related to soil, air, noise and water contamination; emergency environmental response, both physical and cybersecurity. In particular, the subcommittee has jurisdiction over The Nuclear Waste Policy Act, The Clean Air Act, The Safe Drinking Water Act, Comprehensive Environmental Response Compensation and Liability Act – including Superfund and the Emergency Planning and Community Right to Know Act, The Solid Waste Disposal Act, The Toxic Substance Control Act and The Chemical Facility Anti-Terrorism Standards Program. Under the Clean Air Act, this subcommittee deals with National Ambient Air Quality Standards (NAAQS) for criteria pollutants; National Emissions Standards for Hazardous Air Pollutants (NESHAP) Standards; New Source Performance Standards (NSPS); Mobile Source Standards for vehicles, aircraft, fuels and fuel additives, including the Renewable Fuel Standard (RFS) and greenhouse gas emissions from motor vehicles. The subcommittee focuses on the regulation of solid, hazardous, and nuclear wastes, including mining, nuclear, oil, gas, and coal combustion waste.

Health

9 Updates

The health sector broadly, including private and public health insurance (Patient Protection and Affordable Care Act, Medicare, Medicaid, CHIP); biomedical research and development; hospital construction; mental health; health information technology, privacy, and cybersecurity; medical malpractice and medical malpractice insurance; the 340B drug discount program; the regulation of food, drugs, and cosmetics; drug abuse; the Department of Health and Human Services; the National Institutes of Health; the Centers for Disease Control; Indian Health Service; and all aspects of the above-referenced jurisdiction related to the Department of Homeland Security.

Oversight & Investigations

1 Update

Responsible for conducting oversight and investigations of any matter related to the jurisdiction of the full committee.

Recent Letters

Jul 29, 2026

Press Release

Congressional Leaders Get Answers from CBO on Unbudgeted IRA Costs and Multibillion-Dollar Spending Revisions

BACKGROUND:

On May 20, 2026, Chairmen Guthrie, Smith, and Arrington penned a letter to CBO regarding its updated scoring of the IRA and updated Part D outlay projections.
This revision includes an approximately $700 billion increase in projected Medicare Part D outlays and shows that Part D spending per beneficiary in 2035 is now projected to be more than $4,000.
The Government Accountability Office (GAO) confirmed that the Biden-Harris administration's "Premium Stabilization Demonstration" under Medicare spent $9.8 billion on premium stabilization.
On July 28, 2026, the Centers for Medicare & Medicaid Services announced the conclusion of the Part D Premium Stabilization Demonstration, discontinuing the demonstration at the end of CY 2026 to return the program to operating under traditional market conditions in CY 2027.
On July 29, 2026, CBO responded to the Congressional leaders' inquiry, providing additional information on CBO's original estimates and current projections of the drug pricing provisions enacted in the IRA, as well as projections about Part D spending growth in the next decade.
According to the Medicare Payment Advisory Commission (MedPAC), the average number of stand-alone prescription drug plans available to beneficiaries in 2025 was 14, the lowest number since Part D began.
MedPAC has also noted a decline in recent years in the average number of benchmark plans, which are $0 premium plan options for beneficiaries receiving the low-income subsidy.