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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.
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.
AHA Nov. 5 Letter to CMS on Medicaid State-directed Payments (SDPs)
AHA Nov. 5 sent a letter to the Centers for Medicare & Medicaid Services with recommendations for implementing specific provisions in the OBBBA.
AHA 2025 Advocacy Agenda
Explore the AHA's 2024 Advocacy Agenda focusing on healthcare policy and advocacy priorities. Download the PDF for detailed information.
Advocacy & Public Policy, AHA, Access & Health Coverage, Access to Care in Vulnerable Communities, Access to Behavioral Health, Reducing Healthcare Disparities, Quality & Patient Safety, Workforce, Making Healthcare More Affordable, Advancing Best Practices for Hospitals & Health Systems, Innovation, Enhanced Premium Tax Credit (EPTC)
UPDATED: Implications for Hospitals and Health Systems During a Government Shutdown
Government funding and certain health care programs and waivers expired at midnight
Sept. 30 as congressional leaders were unable to reach an agreement to keep the
government funded.
Fact Sheet: The 340B Drug Pricing Program
Learn what the HHS 340B Drug Pricing Program is and what 340B hospitals are. The program allows 340B hospitals to stretch limited federal resources to reduce the price of outpatient pharmaceuticals for patients by providing 340B drug pricing discounts and expand health services to the patients and communities they serve.
UPDATED: Implications for Hospitals and Health Systems During a Government Shutdown
Over the past 15 days, the Senate has voted nine times on the House-passed continuing resolution (CR) to extend government funding and health care waivers until Nov. 21.
UPDATED: Implications for Hospitals and Health Systems During a Government Shutdown
Over the past 15 days, the Senate has voted eight times on the House-passed continuing resolution (CR) to extend government funding and health care waivers until Nov. 21. These votes have failed. While additional legislative activity is expected in the Senate throughout the week, there is no clear path forward at this time to re-open the government.