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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 Medicaid state-directed payments as part of OBBBA implementation
The Centers for Medicare & Medicaid Services Sept. 9 issued preliminary guidance regarding the implementation of certain state-directed payment provisions in Section 71116 of the One Big Beautiful Bill Act.
Leaders at Coalition-sponsored event discuss issues challenging rural health care access
Health care leaders and other officials Sept.
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.
AHA Letter to CMS on the Rural Health Transformation Program
AHA urges the CMS to ensure that the Rural Health Transformation Program funding prioritizes payments to hospitals through an efficient and streamlined state application and award process.
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.
Chair File: Leadership Dialogue — Continuing the Work to Strengthen Health in America With AHA President and CEO Rick Pollack
AHA President and CEO Rick Pollack joined me for a Leadership Dialogue conversation to help us understand the key provisions that apply to health care.
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.
Rural Hospitals at Risk: Cuts to Medicaid Would Further Threaten Access
The One Big Beautiful Bill Act (H.R. 1) would result in 1.8 million individuals in rural communities losing their Medicaid coverage by 2034. In addition, select Medicaid provisions in H.R. 1 would result in a $50.4 billion reduction in federal Medicaid spending on rural hospitals over 10 years.
Resources on the One Big Beautiful Bill Act Signed Into Law July 4, 2025
The Senate July 1, and the House July 3, passed a budget reconciliation bill with policy changes to Medicaid and the Health Insurance Marketplaces.