Rep. Brett Guthrie

R

Kentucky – District 2
representative

Leadership

Chairman

119th Congress

News & Announcements

Jan 21, 2026
Markups

Chairman Guthrie Delivers Opening Statement at Full Committee Markup

WASHINGTON, D.C. – Congressman Brett Guthrie (KY-02), Chairman of the Committee on Energy and Commerce, delivered the following opening statement at today’s markup of 11 bills.

Chairman Guthrie’s opening statement as prepared for delivery:

“Welcome to the first full committee mark-up of 2026. In 2025, the House passed 62 E&C bills. 17 of those bills were signed into law. We held over 60 hearings and markups and spent over 80 hours marking up legislation. That’s a remarkable accomplishment and I want to thank all the members on this Committee for your hard work.

“We are going to continue that work in 2026. Today, we are considering 11 pieces of legislation that will provide permitting reform under the Clean Air Act, support American energy dominance, and improve public safety communications.

“35 years have passed since the Clean Air Act was meaningfully updated and outdated previsions are creating a permitting gridlock that must be addressed.

“When it comes to the Clean Air Act, we are considering a range of bills that would ensure that states and local communities are not penalized for air emissions that come from outside of the U.S.; modernize the current National Ambient Air Quality Standards; reduce permitting gridlock; and facilitate state implementation of Clean Air Act permitting.

“Unfortunately, the current program threatens nearly $200 billion in economic activity and puts over a million jobs at risk.

“Further, we’ll discuss legislation to ensure that states are not penalized for wildfire mitigation measures, like prescribed burns and brush clearing; to streamline the New Source Review permitting process; to provide alternate pathways for critical mineral manufacturing and advanced manufacturing facilities to meet permitting requirements; and to eliminate duplicative reviews that currently lead to increased delays and expenses in NEPA review.

“To ensure the availability of reliable and affordable power, we will examine legislation to extend hydropower licensing for projects across the country, and we will consider several bipartisan public safety communications bills to improve the emergency alert system, including Lulu’s Law to codify the option of using emergency alerts in instances of shark attacks.

“I appreciate all of the work our sponsors have done to advance these bills and bring them to this markup.”

Jan 21, 2026
Markups

Full Committee Markup Recap: E&C Advances 11 Bills to the Full House of Representatives

WASHINGTON, D.C. – Today, the House Committee on Energy and Commerce, led by Chairman Brett Guthrie (KY-02), reported 11 pieces of legislation to the full House of Representatives.

“Today, our Committee advanced commonsense legislation to reform permitting under the Clean Air Act, unleash American energy, and improve public safety communications,” said Chairman Guthrie. “Thank you to our members who have worked to support these bills that will strengthen American manufacturing, support reliable and affordable power, and enhance community safety, we look forward to this legislation being considered by the full House of Representatives.”

Legislative Vote Summary:

  • H.R. 6409, Foreign Emissions and Nonattainment Clarification for Economic Stability (FENCES) was reported to the full House by a roll call vote of 25 yeas - 22 nays.
  • H.R. 4218, Clean Air and Economic Advancement Reform (CLEAR) Act was reported to the full House by a roll call vote of 27 yeas – 23 nays.
  • H.R. 6387, Fire Improvement and Reforming Exceptional Events (FIRE) Act was reported to the full House by a roll call vote of 27 yeas – 23 nays.
  • H.R. 4214, Clean Air and Building Infrastructure Improvement Act was reported to the full House by a roll call vote of 28 yeas – 24 nays.
  • H.R. 161, New Source Review Permitting Improvement Act was reported to the full House, as amended, by a roll call vote of 28 yeas – 23 nays.
  • H.R. 6373, Air Permitting Improvements to Protect National Security Act was reported to the full House by a roll call vote of 25 yeas – 23 nays.
  • H.R. 6398, Reducing and Eliminating Duplicative Environmental Regulations (RED Tape) Act was reported to the full House by a roll call vote of 23 yeas – 22 nays.
  • H.R. 2072, To require the Federal Energy Regulatory Commission to extend the time period during which licensees are required to commence construction of certain hydropower projects. was reported to the full House by a roll call vote of 44 yeas – 0 nays.
  • H.R. 5200, Emergency Reporting Act was reported to the full House by a roll call vote of 45 yeas – 0 nays.
  • H.R. 5201, Kari’s Law Reporting Act was reported to the full House by a roll call vote of 46 yeas – 0 nays.
  • H.R. 2076, LuLu’s Law was reported to the full House by a roll call vote of 46 yeas – 0 nays.

Watch the full markup here.

Below are key excerpts from today’s markup:

Evans FCMU.jpg

Congressman Gabe Evans (CO-08): “My commonsense bipartisan bill will help address a critical issue in western states that makes life less affordable for working families. My Fire Improvement and Reforming Exceptional Events Act, or FIRE Act, ensures that states like Colorado are not punished for smoke and emissions they can't control, while still maintaining strong environmental protections. We've heard the data, 70 percent of the emissions in Colorado originate from outside of the state's jurisdiction. This includes things like Canadian wildfires, Chinese pollution, and naturally occurring atmospheric events. But the resulting regulations that states like Colorado put onto industry and consumers are a leading cause of the affordability crisis facing families in my district.”

Latta FCMU.jpg

Congressman Bob Latta (OH-05): “H.R. 2072 will require the Federal Energy Regulatory Commission to extend the time period during which licensees are required to commence construction of certain hydropower projects. Hydropower is critical to part of our nation's energy mix, supplying power to approximately 30 million homes and businesses and accounting for 40 percent of our black start capacity, which means they can restart themselves without external power. The legislation requires the Federal Energy Regulatory Commission to extend the time period in which licensees are required to commence construction of relevant hydropower projects.”

Palmer FCMU.jpg

Congressman Gary Palmer (AL-06): “Lulu's Law is named after Lulu Griffin who—at 15 years old—lost part of her left arm, her hand, and her right leg during a shark attack last year. Lulu's Law would enable authorities to quickly deploy wireless emergency alerts to the public if someone is attacked by a shark, or conditions for a shark attack are present nearby. About 90 minutes before Lulu was attacked, another woman about a mile down the beach had suffered critical injuries from the same shark. Passage of this bill will allow an alert system that will go out to cell phones to let people know to get their children out of the water, to get out of the water themselves in the event of a shark attack nearby.”

Jan 20, 2026
Letter - Oversight and Investigations

E&C Leaders Launch Investigation into Ongoing Medicaid Fraud in Minnesota

WASHINGTON, D.C. – Congressman Brett Guthrie (KY-02), Chairman of the House Committee on Energy and Commerce, Congressman John Joyce, M.D. (PA-13), Chairman of the Energy and Commerce Subcommittee on Oversight and Investigations, and Congressman Morgan Griffith (VA-09), Chairman of the Energy and Commerce Subcommittee on Health, are requesting communications, documents, and information from Minnesota Governor Tim Walz and the Temporary Commissioner of Minnesota’s Department of Human Services, Shireen Gandhi, to better understand the ongoing Medicaid fraud occurring in the state of Minnesota and actions the state is taking to strengthen program integrity.

The unprecedented fraud scheme in Minnesota, which has potentially been ** ongoing ** since 2013, has revealed a swath of criminal schemes, including overbilling, false records, identity theft, and phantom claims in Medicaid social service and health programs for the elderly and disabled, people struggling with addiction, and homelessness. Chairmen Guthrie, Joyce, and Griffith issued the following statement regarding ** the letter’s ** content:

“The extensive fraud schemes being perpetrated in Minnesota have wreaked havoc on government-funded health programs. We have an obligation to ensure finite taxpayer dollars are being used responsibly, and that the most vulnerable Americans are not being exploited to the benefit of fraudsters and foreign actors,” said Chairmen Guthrie, Joyce, and Griffith. “As members of Congress and this Committee, our track record has made our continued commitment to ridding government programs of waste, fraud, mismanagement, and abuse clear. This letter is the next step in the Committee’s work to root out fraud and restore program integrity in our federal health programs nationwide.”

The Trump Administration has taken concrete steps to address the fraud being uncovered in Minnesota. Complementary to that work, Congress has a responsibility to oversee federal programs, like Medicaid, to ensure precious dollars and resources are being spent appropriately to deliver quality and necessary care.

BACKGROUND:

Glaring accounts of waste, fraud, and abuse in Minnesota’s Medicaid social service and health programs have resulted in billions of taxpayer dollars going straight to the pockets of fraudsters and foreign actors.

  • Ongoing investigations indicate that fraudulent provider schemes are particularly prevalent in health and community-based service programs, including residential drug and alcohol treatment, home health, housing, and autism service programs.

Unfortunately, Minnesota’s Medicaid program lacks adequate oversight and fraud control measures, and state officials have neglected to swiftly identify and address vulnerabilities in programs.

  • Fraud experts note that fraudsters often target states like Minnesota, which tend to have the “weakest ID checks, fastest payouts, and lowest audit risk,” when looking to establish fraud schemes.

In July 2025, the Working Families Tax Cuts legislation was signed into law by President Trump, including critical provisions to target waste, fraud, and abuse within the Medicaid program—several of which help prevent the fraud schemes that occurred in Minnesota from happening again.

In response to these fraudulent practices, CMS is auditing the Minnesota Medicaid program, freezing provider enrollment, and deferring payments for 14 high-risk programs, including adult companion, rehabilitative mental health services, individualized home supports, residential treatment services, among others—which, alone, cost taxpayers $3.75 billion annually.

CMS recently briefed the Committee on what is currently known about the Medicaid fraud in Minnesota and actions CMS has taken to date. This further underscored the need for the Committee’s oversight to ensure program integrity.

Letters

Jan 13, 2026
Press Release

Chairmen Guthrie, Joyce, Griffith, Smith, Schweikert, and Buchanan Ask HHS OIG About Ongoing HHA and Hospice Fraud in Los Angeles County

WASHINGTON, D.C. – Congressman Brett Guthrie (KY-02), Chairman of the House Committee on Energy and Commerce, Congressman John Joyce, M.D. (PA-13), Chairman of the Energy and Commerce Subcommittee on Oversight and Investigations, Congressman Morgan Griffith (VA-09), Chairman of the Energy and Commerce Subcommittee on Health, Congressman Jason Smith (MO-08), Chairman of the House Committee on Ways and Means, Congressman David Schweikert (AZ-01), Chairman of the Ways and Means Subcommittee on Oversight, and Congressman Vern Buchanan (FL-16), Chairman of the Ways and Means Subcommittee on Health, authored ** a letter ** to the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) requesting a meeting on the concerning evidence detailed in the letter that points to large-scale, ongoing Medicare fraud in Los Angeles County, along with what action is being taken to address the situation.

“The House Committee on Energy and Commerce has an extensive history of digging deeper into matters where program integrity has been compromised. This letter is crucial in our commitment to eliminating waste, fraud, and abuse in federal health care programs,” said Chairmen Guthrie, Joyce, and Griffith. “Republicans have spent much of this Congress furthering legislation to protect our most vulnerable Americans—especially seniors, but our work is not done. Continued oversight is crucial to uphold the integrity of programs that serve our most vulnerable populations. We applaud the ongoing work being conducted by HHS-OIG in cracking down on the fraud that has occurred, and we look forward to addressing the larger-scale scheme that is draining public resources from Americans who need these services the most.”

“Medicare home health and hospice fraud directly undermines the safety and reliability of care for America’s most vulnerable seniors. Auditors have reported an unprecedented jump in home health and hospice fraud in Los Angeles County, California – including one report showing 112 different hospices located at the same physical address. With $1.2 billion in improper payments in home health claims and the Inspector General reporting $198 million in suspected hospice fraud, Gavin Newsom’s California could just as well be another Minnesota,” said Chairman Smith. “The Ways and Means Committee will not hesitate to use our broad oversight authority to get to the bottom of this and protect taxpayers and vulnerable patients against these bad actors.”

BACKGROUND:

Evidence has strongly suggested large-scale Medicare fraud involving home health agencies (HHA) and hospice agencies in Los Angeles County, California, noting that such practices not only drain public resources but also compromise the quality of care provided to patients, especially those most vulnerable populations.

  • The Centers for Medicare and Medicaid Services (CMS) found that the 2023 improper payment error rate for home health claims was 7.7 percent, or about $1.2 billion, in 2023.
  • In terms of hospice care, HHS OIG reported suspected hospice fraud to be an estimated $198.1 million in fiscal year (FY) 2023.
  • CMS has placed HHAs as an area of high risk for Medicare fraud.

Emerging concerns over Medicare fraud in the HHAs and hospice sector highlights heightened activity, specifically in Los Angeles County.

  • From 2019 through June 2023, HHAs in the U.S. decreased from 8,838 to 8,280 (6 percent), while, at the same time, HHAs in Los Angeles County increased from 896 to 1,309 (46 percent).
  • More than 1,400 new Los Angeles County HHAs enrolled in Medicare in the last five years, representing over 50 percent of all HHAs in the state of California and nearly 14 percent of all HHAs in the country.

Based on data from the March 2022 California State Auditor’s Report and from HHS on hospice ownership, Los Angeles County had more than 31 percent of the hospice agencies in the U.S. in 2022.

  • There were approximately 58 million seniors in the U.S. in 2022, with Los Angeles County having approximately 1.49 million seniors (2.5 percent).
  • The report highlighted indicators that included a “rapid, disproportionate growth in the number of hospice agencies” and “excessive geographic clustering of hospice agencies,” noting that 112 different licensed hospice agencies were located at the same physical address.
  • State auditors in California estimated that hospice agencies in Los Angeles County likely overbilled Medicare by $105 million in 2019.

These accounts of widespread fraud occurring in Los Angeles County’s HHAs and hospice agencies have raised concerns about whether home health and hospice Accrediting Organizations (AO) are effectively examining such organizations at the time of their enrollment in Medicare.

  • In November 2024, CMS issued a Quality, Safety, and Oversight memo to surveyors, reminding them to closely inspect hospices’ Medicare enrollment documents to understand changes in ownership and location, but neglecting to encourage AOs to pursue other commonsense antifraud measures.

In April 2025, HHS OIG announced that the Office of Audit Services would compile a report for FY 2026 to identify trends, patterns, and comparisons that could indicate potential vulnerabilities related to new Medicare hospice provider enrollments.

In May 2025, the Health Care Fraud Strike Force—a joint task force of federal, state, and local law enforcement agencies, including HHS OIG—** announced multiple arrests ** following a multi-year investigation into Armenian Organized Crime, which dismantled five hospices in the greater Los Angeles area.

On November 28, 2025, CMS ** announced ** the Calendar Year 2026 Home Health Prospective Payment System Final Rule, providing comments that suggest an interest in addressing the aforementioned accounts of fraud.

Nov 17, 2025
Health

Chairmen Guthrie and Joyce Pen Letter to CMS Following HHS Announcement Decertifying South Florida OPO and Implementing Further Safety Guidelines for the Organ Procurement and Transplant System

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 Subcommittee on Oversight and Investigations, sent a letter to the Centers for Medicare and Medicaid Services (CMS) requesting a briefing to better understand the Department of Health and Human Services’ (HHS) recent actions and ongoing work to enhance safety within the organ procurement and transplantation system. On Thursday, September 18, 2025, the Department of Health and Human Services (HHS) announced major efforts to improve safety, transparency, and efficiency within the organ procurement and transplantation system, including the decertification of an organ procurement organization (OPO) for the first time in U.S. history. According to the announcement , the decision was made “after an investigation uncovered years of unsafe practices, poor training, chronic underperformance, understaffing, and paperwork errors.” The Committee has a history of ensuring patient safety remains the highest priority in our organ procurement and transplantation system, as evident from the Committee’s work last Congress on organ transplantation and donation issues as well as its oversight this Congress. As a part of its ongoing investigation, the Committee requests that CMS respond to questions, including those related to the decertification of the OPO in South Florida and the prevalence of incidents similar to those outlined in the Health Resources and Services Administration’s (HRSA) investigative report, to ensure patient safety remains a top priority. Read the full letter HERE . “While the Committee applauds efforts taken by CMS to uphold the highest standards of care to which all OPOs are expected to adhere, HHS’s announcement decertifying the Life Alliance Organ Recovery Agency illustrates the urgency of this moment and why the subcommittee is not finished with our oversight of the organ transplant system,” said Chairmen Guthrie and Joyce. “It is our moral obligation as members of Congress to establish safeguards and prevent these harmful practices from persisting further, and we look forward to obtaining answers from the agency about the prevalence of these incidents, as well as how CMS plans to proceed with prioritizing patient safety first and foremost.” 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 HRSA requesting a briefing on its ongoing oversight of patient safety in our nation’s organ procurement and transplant system. ###

Oct 31, 2025
Commerce, Manufacturing, and Trade

Chairmen Guthrie, Joyce, and Bilirakis Send Letter to NCAA Over Decision to Let Student Athletes Gamble on Professional Sports

WASHINGTON, D.C. – Congressman Brett Guthrie (KY-02), Chairman of the House Committee on Energy and Commerce, Congressman John Joyce, M.D. (PA-13), Chairman of the Subcommittee on Oversight and Investigations, and Congressman Gus Bilirakis (FL-12), Chairman of the Subcommittee on Commerce, Manufacturing, and Trade, sent a letter to National Collegiate Athletic Association (NCAA) President Charlie Baker following the recent announcement that student athletes and athletic department staff will be allowed to bet on professional sports. KEY EXCERPTS: “The Committee on Energy and Commerce is examining the NCAA’s recent policy change permitting student athletes and athletic department staff to bet on professional sports.” [...] To assist the Committee in its oversight, we request a briefing by no later than November 13, 2025, that addresses the following: Why is the NCAA changing its policy allowing student athletes to bet on professional sports? Has the NCAA conducted any studies, analyses, or reviews of the impact of gambling on student athletes? If so, what are the results? What role did they play in the NCAA’s decision to allow student athletes to bet on professional sports? How does this change allow the NCAA, the conferences, and the member schools to better protect the integrity of college games and encourage healthy habits for student-athletes who choose to engage in betting activities on professional sports? How is the NCAA engaging with athletic conferences, member institutions, and teams to address questions and concerns about this rule change? Amid recent allegations of illegal sports betting among student athletes and concerns expressed by member institutions, is NCAA reconsidering implementation of the policy? What guardrails are in place to prevent the type of illegal sports betting activity that is allegedly occurring in the NCAA and NBA, considering that some student athletes will go on to become professional athletes? Please provide details about any fraudulent, illegal, and alleged betting practices in connection with NCAA players, coaches, and officials, including the actions of NCAA players identified in recent infraction decisions; as well as prior instances, some of which are identified above. Please describe the NCAA’s “layered integrity monitoring program,” for maintaining competition integrity and pursuing sports betting violations. What gaps, if any, are in existing regulations that allow illegal betting schemes to occur in college sports? BACKGROUND: On October 24, 2025, the Committee on Energy and Commerce launched its investigation into sports fixing and illegal gambling after the Federal Bureau of Investigation (FBI) unsealed indictments of current and former NBA players and coaches. An initial announcement stated that, effective November 1, 2025, student athletes and athletic department staff in all three NCAA divisions would be permitted to bet on professional sports. A few days before the policy change was supposed to take effect, the Division I Board of Directors voted to delay implementation of the rule change across all three divisions to November 22, 2025. A recent NCAA press release stated that “enforcement staff has opened investigations into potential sports betting violations by approximately 30 current or former men's basketball student-athletes.” CLICK HERE to read the full letter.