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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.
Senator Scott’s Amendment Withdrawn from Senate Vote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 Rick Scott, R-Fla., has withdrawn his amendment to the Senate’s budget reconciliation bill.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 Response to OMB Deregulation RFI
AHA responds to the Office of Management and Budget Deregulation Request for Information.
Senate Unveils Amendment to House Budget Resolution with Vote Expected This Week
Senate Budget Committee Chair Lindsey Graham, R-S.C., April 2 released the Senate's amendment to the House budget resolution for fiscal year 2025.
NIH to Significantly Reduce Funding for Indirect Cost Rates for Grants
The National Institutes of Health (NIH) late Feb. 7 issued supplemental guidance that updates negotiated indirect cost rates for new and existing NIH grants. Specifically, the agency will apply a straight 15% indirect cost rate across all new and existing grant awards.
Administration Rescinds Memo Pausing Federal Grants, Loans and Other Financial Assistance Programs
The White House Office of Management and Budget Jan. 29 rescinded a memo it issued two days earlier directing federal agencies to temporarily pause federal grants, loans and other financial assistance programs implicated by President Trump’s recent executive orders.
AHA Comments to CMS on Financial Assistance Program Navigators
AHA response to CMS's request for comment on how navigators and non-navigator assistance personnel working within hospitals and health systems may help consumers access financial assistance programs to help pay for health care services.