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Kevin McCarthy as speaker of the House after a historically lengthy election process. That could be bad news for some retirees.

That's because of the types of concessions McCarthy had to make to secure his seat. Reporting over the past few days strongly suggests that those concessions are related to entitlement programs like Medicare and Social Security, which Republicans have waged war against for decades. That's become clearer as the week has advanced: GOP leaders gave a slide presentation to Republican House members on Tuesday outlining their budget and spending priorities, CNN reported.

According to a screenshot of the presentation viewed by CNN, the spending priorities were vague but mentioned reforms to "mandatory spending programs" that could include Social Security and Medicare.

Those cuts would likely make expenses tighter for doctors and put vital healthcare out of reach for some older patients. If healthcare providers get less money through Medicare, they won't be able to hire as many nurses, doctors, and other staff, as well as fund necessary equipment for services.

It affects the quality of care patients are able to get and can even impact how many Medicare patients a healthcare provider can take on, Christian Shalgian, the director of advocacy and health policy at the American College of Surgeons, told Insider in November.

Democrats expressed relief when they maintained control of the Senate by a hair and won more House seats than projected after the midterm elections in November. But it looks like some House Republicans are already strong-arming the policy direction of their renewed majority. Policy experts told Insider there's reason to fear for the fate of major programs that help seniors in the US. McCarthy's eventual election was delayed by the House Freedom Caucus , a nearly strong group of far-right Republicans who are dead set against what they consider excessive government spending.

Their agenda isn't explicit about what that means for Social Security and healthcare plans, but as Park pointed out, the Republican Study Committee's plan shows that those programs may be on the chopping block. Park said that restrictions on the use of healthcare providers' taxes to finance the state share of Medicaid costs was one example of a smaller, damaging cut.

Nearly all states employ these restrictions, but the budget would dispense with such use of provider funds. The RSC plan also proposes eliminating the state use of provider taxes entirely, Park noted. Mary Johnson, a Social Security and Medicare policy analyst at the Senior Citizens League, also told Insider that the RSC's plan is a good bellwether for what House Republicans have planned, but that a Democrat-controlled Senate and outrage from older constituents might halt their agenda.

Johnson also noted that any sort of stalemate over budget negotiations could endanger the timely payment of Social Security benefits, which would hurt seniors. Read next. US Markets Loading H M S In the news. Jason Lalljee. The negotiated prices for those 10 Medicare Part D drugs will go into effect in January Under the Inflation Reduction Act, certain drugs are exempt from the negotiations. HHS has not yet tipped its cards about which drugs it is eyeing. The most current publicly available data on Medicare Part D drug spending is two years old.

The federal government will use Medicare spending data from June through May to guide its selection. The products may not be part of the eventual price negotiations due to generic competition or a change in Medicare expenditures.

In the program's second phase, HHS will select another 15 Medicare Part D drugs to negotiate, with prices taking effect in In the third phase, the federal government can negotiate Part B drugs, with prices taking effect in The federal government can negotiate 20 drugs in all subsequent years.

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