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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.
Advocacy Issue: Medicaid
The Medicaid program is the largest single source of health care coverage in the United States, covering nearly half of all children, many low-income elderly and disabled individuals, and working adults in low-wage jobs. With the passage of the One Big Beautiful Bill Act (P.L. 119-21), Congress made policy changes that will reduce federal spending for the Medicaid program by hundreds of billions of dollars over the next 10 years.
CMS launches oversight of Medicaid, CHIP enrollees to ensure immigration status
The Centers for Medicare & Medicaid Services today announced a n
Behind the Bill: What the One Big Beautiful Bill Act Means for Hospitals and Health Systems
In this Leadership Dialogue conversation, Tina Freese Decker, president and CEO of Corewell Health and 2025 AHA board chair, talks with Rick Pollack, president and CEO of the American Hospital Association, about the sweeping impacts this legislation will have in the health care field.
HHS, CMS to form committee providing federal health program recommendations
The Department of Health and Human Services and the Centers for Medicare & Medicaid Services Aug. 21 announced the creation of a Healthcare Advisory Committee for the Secretary of HHS and Administrator of CMS.
CMS releases 2025-2026 Medicaid Managed Care Rate Development Guide
The Centers for Medicare & Medicaid Services has issued the 2025-2026 Medicaid M
Setting the Record Straight: Beware of Opinions Masquerading as Facts
For health care organizations that care for the 70 million Medicaid patients in the U.S., provider taxes are a life vest that keep state Medicaid programs afloat and allow them to continue providing critical health care services for their communities.
Medicaid Spending Reductions Would Lead to Losses in Jobs, Economic Activity and Tax Revenue for States
The AHA’s analysis reflects the incremental economic impacts of Medicaid cuts across the entire program in each
state, including spending on hospitals, physician offices, specialists and pharmacies.
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.
Fact Sheet: Medicaid
AHA urges Congress to reject reductions to the Medicaid program that would not only strip access to health care from some of the most vulnerable populations but also destabilize hospitals and health systems, leading to a loss of services that would impact patients and communities nationwide.