Budget Reconciliation

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

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.
The House-passed One Big Beautiful Bill Act (OBBBA, H.R. 1) makes significant changes to the Affordable Care Act (ACA) marketplaces that would lead to millions of people losing their coverage and becoming uninsured.
A Congressional Budget Office report released June 4 found that enactment of the fiscal year 2025 budget reconciliation bill, the One Big Beautiful Bill Act (H.R. 1), would lead to 10.9 million people becoming uninsured in 2034 due to significant changes to the Medicaid program and Affordable Care…
After approval in the House last week by a one vote margin, the One Big Beautiful Bill Act — a sweeping package that would enact many of President Trump’s legislative priorities on taxes, border security, energy and deficit reduction, including significant changes and cuts to Medicaid and other…
The House of Representatives May 22 passed the One Big Beautiful Bill Act (H.R. 1), a sweeping package that would enact many of President Trump’s legislative priorities on taxes, border security, energy and deficit reduction.
The House May 22 passed the fiscal year 2025 budget reconciliation bill, the One Big Beautiful Bill Act by a 215-214 vote. The legislation includes significant impacts to Medicaid and the Health Insurance Marketplaces. 
This is a summary of provisions included in the One Big Beautiful Bill Act that affect hospitals and health systems, as well as some resources from the Congressional Budget Office regarding the impact of the bill.
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.
The AHA's hospitals and health systems have significant concerns regarding the harmful Medicaid and Health Insurance Marketplace provisions currently included in the One Big Beautiful Bill Act (OBBBA).
The House Budget Committee May 18 advanced the fiscal year 2025 budget reconciliation bill by a 17-16 vote along party lines, as four Republicans who previously opposed the bill in a May 16 markup flipped to “present” in yesterday’s tally.