The election of Rep. Brett Guthrie (R-KY) to lead the House Energy and Commerce Committee will likely be a pivotal step in advancing the health policy goals of the incoming Republican trifecta, including rolling back altering Biden-era Medicare policies and implementing oversight reforms of federal health agencies.

The Kentucky congressman, who has served in the House since 2009, is expected to play a vital role in shepherding key pieces of President-elect Donald Trump’s healthcare agenda through the House, which could be done as part of a reconciliation bill early in 2025.