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Key Highlights of the Final One Big Beautiful Bill Act
The Senate July 1, and the House July 2, passed a budget reconciliation bill, the One Big Beautiful Bill Act (OBBBA), H.R. 1, a sweeping package that enacts many of President Trump’s legislative priorities on taxes, border security, energy and deficit reduction. The bill includes significant policy changes to Medicaid and the Health Insurance Marketplaces.
Advocacy Issue: Medicaid
AHA urges Congress to reject reductions to the Medicaid program that would not only strip access to health care from some of the most vulnerable populations but also destabilize hospitals and health systems, leading to a loss of services that would impact patients and communities nationwide.
Senator Scott’s Amendment Withdrawn from Senate Vote
Sen. Rick Scott, R-Fla., has withdrawn his amendment to the Senate’s budget reconciliation bill. This withdrawal comes after a vigorous advocacy campaign by the AHA, with the great assistance of our members, to urge senators to vote no on the amendment.
Scott Amendment Could Drastically Impact Medicaid Expansion States
Senator Rick Scott, R-Fla., is expected to introduce an amendment to the Senate budget reconciliation bill during the vote-a-rama in the coming hours. The amendment would dramatically impact expansion states.
Estimated Impact of FMAP Reduction
The table below summarizes the 10-year impact on federal Medicaid hospital spending if the Federal Medical Assistance Percentage (FMAP) were reduced to the traditional level for Medicaid expansion enrollees due to program churn.
AHA Urges Senate to Amend Budget Reconciliation Bill Before Final Passage
The magnitude of nearly a trillion-dollar reduction to the Medicaid program cannot be characterized solely as waste, fraud and abuse. The real-life consequences of these reductions will result in irreparable harm to access to care for all Americans and undermine the ability of hospitals and health systems to care for our most vulnerable patients.
AHA Urges Senate to Amend Budget Reconciliation Bill to Protect Access to Care
AHA shares very serious concerns with the amendment in the nature of a substitute for the One Big Beautiful Bill Act (OBBBA) (H.R. 1) that is being considered by the Senate.
Register for Special June 24 AHA All-Member Call Ahead of Possible Senate Vote This Week on Reconciliation Bill with Detrimental Policy Changes
Please join AHA President and CEO Rick Pollack, Executive Vice President of Government Relations and Public Policy Stacey Hughes, and other AHA leaders for a member-only call June 24 at 5 p.m. ET.
Act Now: Ask Your Lawmakers to Protect Medicaid and Access to Care
AHA members across the country are reaching out to their lawmakers this week, both in Washington, D.C., and in their home states, to deliver key messages on the impact of the proposals in the House and Senate versions of the budget reconciliation draft legislation.
Senate Finance Committee Releases Legislative Text for Reconciliation Bill
The Senate Committee on Finance has released bill text for its portion of the budget reconciliation bill. It appears that the provisions further undermine the ability for hospitals to provide care to Medicaid patients.