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Advocacy Issue: Medicaid

The Medicaid program is the largest single source of health care coverage in the United States, covering nearly half of all children, many low-income elderly and disabled individuals, and working adults in low-wage jobs. With the passage of the One Big Beautiful Bill Act (P.L. 119-21), Congress made policy changes that will reduce federal spending for the Medicaid program by hundreds of billions of dollars over the next 10 years.

Medicaid: Real Lives, Real Care

Back to Advocacy Issue: Medicaid
Member

Hospital Outpatient, Ambulatory Surgical Center Proposed Rule for CY 2026

The AHA is disappointed that CMS proposes an inadequate Medicare outpatient hospital payment update, as many hospitals — especially those in rural and underserved communities — operate under challenging financial pressures.
Member Non-Fed

TAKE ACTION: Engage Lawmakers in August to Build Support for Key Priorities

It is important to engage with your lawmakers while they are home and discuss the impact that the recently passed One Big Beautiful Bill Act and additional policy proposals that are under consideration will have on hospitals’ ability to provide care.
Public

Fact Sheet: Medicaid DSH Program

The Medicaid Disproportionate Share Hospital (DSH) program provides essential financial assistance to hospitals that care for our nation’s most vulnerable populations, including children and those who are disabled and elderly. These hospitals also provide critical community services, such as trauma and burn care, maternal and child health, high-risk neonatal care and disaster preparedness resources.
Member Non-Fed

Key Highlights of the Final One Big Beautiful Bill Act

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 changes to Medicaid and the Health Insurance Marketplaces.

Advocacy Issue: Medicaid DSH Payment Cuts

The Medicaid Disproportionate Share Hospital (DSH) program provides essential financial assistance to hospitals that care for our nation’s most vulnerable populations — children, impoverished, disabled and elderly. The Medicaid DSH payment reductions are scheduled to be implemented on Oct. 1, 2025, when $8 billion in reductions take effect.
Member

URGENT: Contact Your Members of Congress to Protect Medicaid

The House Energy and Commerce Committee late last night released bill text in advance of its May 13 markup, with significant Medicaid cuts being considered.
Member Non-Fed

House Passes Reconciliation Bill with Significant Policy Changes and Reductions to Medicaid, Other Health Care Programs

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.
Member Non-Fed

AHA Summary of One Big Beautiful Bill Act’s Provisions Impacting 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.