AHA Statement on Senate Reconciliation Package

Rick Pollack
President and CEO
American Hospital Association

June 28, 2025

On behalf of the patients and communities we serve, America’s hospitals oppose the Senate substitute to the One Big Beautiful Bill Act.

This legislation will put at risk the 72 million Americans who rely on Medicaid for their health care and jeopardize the hospitals that serve them. It will adversely impact critical care for children, pregnant women, the elderly, disabled and millions of working Americans. The sheer magnitude of these cuts, the largest ever proposed by Congress, will dramatically increase the number of uninsured and undermine the ability of hospitals across America to provide critical services to everyone. 

We are disappointed that the Senate bill goes in the wrong direction and is substantially worse than its House counterpart.

By making severe limitations to provider taxes and state directed payments, two lifelines for hospitals, the bill will result in the curtailing of essential services and the closure of hospitals, particularly in rural areas.

Without modifications during the consideration of the legislation, we urge the Senate to reject this bill. As written, it will negatively impact not only Medicaid beneficiaries but also the health care of all Americans. 

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