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House Passes Reconciliation Bill with Significant Policy Changes and Reductions to Medicaid, Other Health Care Programs

The House of Representatives May 22 passed by a 215-214 vote H.R. 1, the One Big Beautiful Bill Act, which includes significant policy changes to Medicaid and the Health Insurance Marketplaces that will jeopardize access to care for communities.
Public

AHA Statement on House Reconciliation Legislation

The AHA's hospitals and health systems have significant concerns regarding the harmful Medicaid and Health Insurance Marketplace provisions currently included in the One Big Beautiful Bill Act (OBBBA).

Advocacy Academy

AONL Advocacy Center

Advocacy

House Budget Committee advances reconciliation bill

The House Budget Committee May 18 advanced the fiscal year 2025 budget reconciliation bill by a 17-16 vote along party lines, as four Republicans who previously opposed the bill in a May 16 markup flipped to “present” in yesterday’s tally.
Member

State Issues Forum Meeting - May 4, 2025

The States Issues Forum featured a compelling panel discussion with Jared Kosin, President and CEO of the Alaska Hospital & Healthcare Association; Neda Jasemi, Senior Policy Analyst at the Nat

House E&C Committee advances reconciliation bill

The House Energy and Commerce Committee today advanced by a 30-24 vote along party lines its portion of the fiscal year 2025 reconciliation bill following a markup that lasted more than 24 hours.

RFK Jr. testifies to congressional committees on FY 2026 proposed budget 

Department of Health and Human Services Secretary Robert F. Kennedy Jr. May 14 testified on President Trump’s discretionary budget proposal for fiscal year 2026 in hearings before the House Appropriations Subcommittee on Labor, Health and Human Services, Education, and Related Agencies and the Senate Committee on Health, Education, Labor and Pensions. The proposal includes $93.8 billion for HHS, which is a 26.2% reduction from the FY 2025 enacted level. 

House Ways and Means Committee advances its portion of FY 2025 reconciliation bill 

The House Ways and Means Committee today advanced its portion of the fiscal year 2025 reconciliation bill by a 26-19 vote along party lines, following an hours-long, overnight markup.
Member

AHA Summary of House Energy and Commerce Legislative Language

The House Energy and Commerce Committee May 11 released bill text in advance of its May 13 markup. The committee has been instructed to reduce deficits by $880 billion, with significant Medicaid cuts being considered.