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House passes final version of One Big Beautiful Bill Act
The House July 3 voted 218-214 to pass the final version of the One Big Beautiful Bill Act (H.R. 1), which enacts many of President Trump’s legislative priorities on taxes, border security, energy and deficit reduction.
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.
Senate Passes Budget Reconciliation Bill; House Expected to Vote This Week
The Senate today voted 51 to 50, with a deciding vote by Vice President J.D. Vance, to pass its version of the budget reconciliation bill.
Senate passes One Big Beautiful Bill ActÂ
The Senate narrowly passed the One Big Beautiful Bill Act (H.R. 1) on July 1 by a 50-50 tally, with Vice President J.D. Vance casting the tie-breaking vote.
Senator Scott’s Amendment Withdrawn from Senate Vote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 Rick Scott, R-Fla., has withdrawn his amendment to the Senate’s budget reconciliation bill.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.
AHA details newest concerns with budget reconciliation bill in letter to senatorsÂ
The AHA June 29 sent a letter to senators urging them to amend the b
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.
Leadership Dialogue
Join AHA’s Board Chair Tina Freese Decker for Leadership Dialogue as she discusses key issues with hospitals colleagues from across the country. Watch the video and listen to the podcasts. New videos will post the last Monday of each month.
Chair File: Leadership Dialogue — Legal Advocacy to Protect Hospitals With AHA General Counsel Chad Golder
Chad Golder, general counsel at the AHA, recently joined me on the Leadership Dialogue for a conversation on our current legal environment, what the AHA is doing on behalf of members, and what hospital and health system leaders can do to help.