Legislation and Legislative Advocacy

The American Hospital Association (AHA) shares resources on health care legislation being considered by the U.S. House and Senate and legislative advocacy opportunities for hospitals and health systems.

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 Energy and Commerce Committee today advanced by a 30-24 vote along party lines its portion of the fiscal year 2025 reconciliation bill following a markup that lasted more than 24 hours.
Department of Health and Human Services Secretary Robert F. Kennedy Jr. May 14 testified on President Trump’s discretionary budget proposal for fiscal year 2026 in hearings before the House Appropriations Subcommittee on Labor, Health and Human Services, Education, and Related Agencies and the…
The House Ways and Means Committee today advanced its portion of the fiscal year 2025 reconciliation bill by a 26-19 vote along party lines, following an hours-long, overnight markup.
The AHA provides comments on legislative proposals under consideration before the House Ways and Means Committee.
The House Energy and Commerce Committee May 11 released bill text in advance of its May 13 markup. The committee has been instructed to reduce deficits by $880 billion, with significant Medicaid cuts being considered.
The House Energy and Commerce Committee late on May 11 released legislative text in advance of the May 13 markup on its portion of the reconciliation bill. Among other provisions, the language outlines significant changes to Medicaid financing. 
The House committees with jurisdiction over Medicaid and other health care programs have announced they will begin marking up their portions of the budget reconciliation bill May 13. The House Energy and Commerce Committee has been instructed to reduce deficits by $880 billion, indicating that…