Budget Reconciliation

Reconciliation is a complicated budget tool that gives Congress a fast-track mechanism to avoid the Senate filibuster and pass partisan legislation.

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…
Budget reconciliation is an optional process under the Congressional Budget Act of 1974 that allows for expedited consideration of certain fiscal legislation that makes changes to mandatory spending, revenues and/or the debt limit.
This year, House and Senate Republicans are expected to use the budget reconciliation process to pass key agenda items on taxes, energy and border security, and they may look to health measures to pay for this legislation.
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.
The House July 3 voted 218-214 to pass the final version of the One Big Beautiful Bill Act (H.R. 1), which enacts many of President Trump’s legislative priorities on taxes, border security, energy and deficit reduction.
Despite months of clearly demonstrating the implications that these Medicaid proposals will have on the patients and communities we serve, especially the most vulnerable populations, Congress has enacted cuts of nearly a trillion dollars to the Medicaid program.
The House has begun consideration of the Senate-passed version of the One Big Beautiful Bill Act (H.R. 1).
The Senate narrowly passed the One Big Beautiful Bill Act (H.R. 1) on July 1 by a 50-50 tally, with Vice President J.D. Vance casting the tie-breaking vote.
The Senate today voted 51 to 50, with a deciding vote by Vice President J.D. Vance, to pass its version of the budget reconciliation bill.
We are deeply disappointed by today’s vote in the United States Senate to advance the One Big Beautiful Bill Act (H.R. 1). The real-life consequences of these nearly $1 trillion in Medicaid cuts – the largest ever proposed by Congress – will result in irreparable harm to our health care system,…