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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Senator Scott’s Amendment Withdrawn from Senate Vote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 Rick Scott, R-Fla., has withdrawn his amendment to the Senate’s budget reconciliation bill.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.
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.
Issue Brief: Patients and Providers Faced with Increasing Delays in Timely Discharges
Patients requiring additional care after a hospitalization — such as skilled nursing, behavioral health or therapy-at-home — face growing delays in accessing that care. Delays in discharges as patients move through the continuum of care can cause harm to patients’ health outcomes and can impact their quality of life by slowing their recovery.
Workforce Shortages Delay Patient Discharges and Exacerbate Providers’ Severe Financial Challenges
Significant workforce shortages at facilities, such as those in post-acute and behavioral health, is making it more difficult for hospitals to efficiently and appropriately discharge patients. Hospitals have to bear the costs of caring for patients for those excess days without any reimbursement.
Fact Sheet: AHA Urges Congress to Call on CMS to Stop Cuts to Hospitals
America’s hospitals and health systems continue to face unprecedented financial pressures due to the ongoing effects of the COVID-19 pandemic and current inflationary economy. Historic inflation has extended and heightened the already severe economic instability brought on by the pandemic resulting in razor thin operating margins from massive surges in input costs, including a struggling workforce, drug costs, supplies and equipment.