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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.
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 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.
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.
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.
Update on Implications of the Government Shutdown on Day 1
A federal government shutdown began at midnight Sept. 30. The impact on health care is that government funding and certain health care programs and waivers expired.
UPDATED: Implications for Hospitals and Health Systems as Government Shutdown Looms
Advisory revised Sept 28. with fiscal year 2026 agency contingency plans. Government funding is set to expire at midnight Sept. 30 without congressional action.