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Detailed Summary of One Big Beautiful Bill Act (OBBBA; Public Law No. 119-21)
President Trump July 4 signed into law the OBBBA; Public Law No. 119-21, a sweeping package that enacts many of the administration’s legislative priorities on taxes, border security and energy. The bill includes significant policy changes to Medicaid and the Health Insurance Marketplaces.
One Big Beautiful Bill Act (OBBBA) Provisions Timeline
The AHA has developed this resource to visualize the enactment timeline for provisions in the One Big Beautiful Bill Act (OBBBA) impacting hospitals and health systems.
CMS issues preliminary guidance on provider tax provisions under OBBBA
The Centers for Medicare & Medicaid Services Nov. 14 released preliminary guidance to states on implementing provider tax provisions in the One Big Beautiful Bill Act.
House vote expected on government funding package
The House is expected to begin a final vote Nov. 12 on the Senate-backed funding package, bringing a potential end to the government shutdown one step closer.
2026 AHA Annual Membership Meeting
Join us in the nation’s capital April 19-21, 2026, for insightful conversations with policymakers, legislators, and thought leaders on the most pressing issues facing our field. You’ll connect with the decision makers who create, shape, and implement health care policy and influence the political landscape. With a focus on AHA’s key advocacy priorities, these three days of programming will give you what you need to make your voice heard on the Hill.
Amicus Briefs
The AHA weighs in on a number of issues of importance to hospitals and health systems, as well as the patients they care for, as they come before the court. Below are our most recent friend-of-the-court briefs.
Senate passes funding legislation, sends to House for consideration
The Senate Nov. 10 passed legislation to fund the federal government that will now head to the House for a vote as early as the evening of Nov. 12, as an end to the record-long government shutdown appears to be close.
Senate reaches deal to potentially end government shutdown this week
The Senate Nov. 9 took a critical first step toward ending the government shutdown as seven Democrats and Sen. Angus King, I-Maine, joined Republicans to advance a government funding agreement.
Senate Deal Reached to End Government Shutdown
Over the weekend, senators reached a deal to reopen the government. The agreement includes a three-bill, full-year spending package for 1) the Department of Agriculture and Food and Drug Administration, 2) the Legislative Branch, and 3) the Defense Department construction projects and the Department of Veterans Affairs, as well as a short-term continuing resolution to extend funding for the rest of the government until Jan. 30, 2026.
UPDATED: Implications for Hospitals and Health Systems During a Government Shutdown
This is now the longest government shutdown on record, surpassing the previous record from 2018-2019, which lasted 35 days. Over the past 38 days, the Senate has voted 14 times on the House-passed continuing resolution (CR) to extend government funding and health care waivers until Nov. 21.