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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.
Advocacy Issue: Medicaid DSH Payment Cuts
The Medicaid Disproportionate Share Hospital (DSH) program provides essential financial assistance to hospitals that care for our nation’s most vulnerable populations — children, impoverished, disabled and elderly. The Medicaid DSH payment reductions are scheduled to be implemented on Oct. 1, 2025, when $8 billion in reductions take effect.
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.
Act Now: Ask Your Lawmakers to Protect Medicaid and Access to Care
AHA members across the country are reaching out to their lawmakers this week, both in Washington, D.C., and in their home states, to deliver key messages on the impact of the proposals in the House and Senate versions of the budget reconciliation draft legislation.
URGENT: Contact Your Members of Congress to Protect Medicaid
The House Energy and Commerce Committee late last night released bill text in advance of its May 13 markup, with significant Medicaid cuts being considered.
Act Now: Ask Your Senators to Protect Medicaid and Access to Care
As the next step in the budget reconciliation process, the Senate is taking up the House-passed version of the budget reconciliation bill. Senate key committees, Senate leaders and others are considering changes to the House version.
Chair File: The OBBBA and What’s Next for Health Care
The recently enacted One Big Beautiful Bill Act will bring big changes to health care.
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.
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.