One Big Beautiful Bill Act (OBBBA)

The Senate July 1, and the House July 3, 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 changes to Medicaid and the Health Insurance Marketplaces.

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,…
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 Rick Scott, R-Fla., has withdrawn his amendment to the Senate’s budget reconciliation bill.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. 
The magnitude of nearly a trillion-dollar reduction to the Medicaid program cannot be characterized solely as waste, fraud and abuse. The real-life consequences of these reductions will result in irreparable harm to access to care for all Americans and undermine the ability of hospitals and health…
AHA shares very serious concerns with the amendment in the nature of a substitute for the One Big Beautiful Bill Act (OBBBA) (H.R. 1) that is being considered by the Senate.
Senator Rick Scott, R-Fla., is expected to introduce an amendment to the Senate budget reconciliation bill during the vote-a-rama in the coming hours. The amendment would dramatically impact expansion states.
The Senate version of the budget reconciliation bill proposes even GREATER CUTS to the Medicaid program than the House bill.
On behalf of the patients and communities we serve, America’s hospitals oppose the Senate substitute to the One Big Beautiful Bill Act.
The Senate has released its legislative text for the substitute to H.R. 1, One Big Beautiful Bill Act (OBBBA), a sweeping package that would enact many of President Trump’s legislative priorities on taxes, border security, energy and deficit reduction.