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.
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.
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.
The AHA July 2 expressed support for the Resident Physician Shortage Reduction Act (H.R. 3890), bipartisan legislation that would add 14,000 Medicare-funded residency positions over seven years to help alleviate ongoing physician shortages.
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.
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.
Sen. Rick Scott, R-Fla., has withdrawn his amendment to the Senate’s budget reconciliation bill. This withdrawal comes after a vigorous advocacy campaign by the AHA, with the great assistance of our members, to urge senators to vote no on the amendment.
The AHA June 29 sent a letter to senators urging them to amend the budget reconciliation bill before its final passage in the Senate. The Senate version of the bill proposes even greater cuts to Medicaid than the House-passed version.