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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.
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.
AHA urges CMS to ensure efficient application and award process for rural health fund
The AHA Aug. 11 urged the Centers for Medicare & Medicaid Services to prioritize payments to hospitals from the Rural Health Transformation Program.
AHA, FAH file amicus brief in lawsuit against FTC for changes to premerger notification rule
The AHA and Federation of American Hospitals Aug. 8 filed an amicus brief in the U.S. District Court for the Eastern District of Texas in support of the U.S. Chamber of Commerce’s lawsuit against the Federal Trade Commission, explaining that changes made by the FTC to premerger notification rules under the Hart-Scott-Rodino Act are “unnecessary and unlawful.”
Administration announces effort to improve federal grantmaking oversight
President Trump Aug. 7 issued an executive order, “Improving Oversight of Federal Grantmaking,” requiring government agencies to review new and discretionary grants to ensure grant funding advances the administration’s policy priorities.
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.
When Medicaid Disappears: How Cuts Could Devastate Behavioral Health Care in Rural America
In this conversation, Jon Ulven, Ph.D., behavioral health psychologist and chair of adult psychology at Sanford Health, details the fragile behavioral health landscape in rural America and how Medicaid cuts could deepen gaps in health care access and resources.
Senate committee advances appropriations bill
The Senate Appropriations Committee July 31 advanced the fiscal year 2026 appropriations bill for the Departments of Labor, Health and Human Services, Education and other agencies by a bipartisan 26-3 vote. The bill provides approximately $197 billion in discretionary funding.
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.