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Resources on the One Big Beautiful Bill Act Signed Into Law July 4, 2025
The Senate July 1, and the House July 3, passed a budget reconciliation bill with policy changes to Medicaid and the Health Insurance Marketplaces.
Chair File: The OBBBA and What’s Next for Health Care
The recently enacted One Big Beautiful Bill Act will bring big changes to health care.
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.
Detailed Summary of One Big Beautiful Bill Act (OBBBA; Public Law No. 119-21)
President Trump July 4 signed into law the OBBBA; Public Law No. 119-21, a sweeping package that enacts many of the administration’s legislative priorities on taxes, border security and energy. The bill includes significant policy changes to Medicaid and the Health Insurance Marketplaces.
One Big Beautiful Bill Act (OBBBA) Provisions Timeline
The AHA has developed this resource to visualize the enactment timeline for provisions in the One Big Beautiful Bill Act (OBBBA) impacting hospitals and health systems.
CBO projects OBBBA to increase uninsured by 10 million, federal deficit by $3.4 trillion
The Congressional Budget Office today released its estimate of the budgetary effects of the One Big Beautiful Bill Act, as enacted. CBO projects the law will increase the number of people without insurance by 10 million in 2034, as well as increase the budget deficit by $3.4 trillion over the 2025-2034 period relative to CBO’s 2025 baseline.
America Needs Strong Hospitals to Support Healthy and Thriving Communities
We are continuing our full court press to make the case to lawmakers that enacting significant cuts to Medicaid would jeopardize access to care for the more than 72 million people who rely on the program.
Uniting to Protect Access to Care for Patients and Communities
After a week’s delay to try to build consensus among Republicans — due in large part to concerns we have been raising about Medicaid cuts — the House Energy & Commerce Committee could begin next week drafting its portion of the budget reconciliation bill as part of President Trump’s agenda to advance tax cuts that disproportionately benefit high income individuals.
Use AHA advocacy resources ahead of May 13 House committee markups
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 significant Medicaid cuts are being considered.
AHA Statement on House Energy and Commerce Medicaid Proposal
The magnitude of the proposals contained in the Energy and Commerce reconciliation text represents a devastating blow to the health and well-being of our nation’s most vulnerable citizens and communities. There is no avoiding the real-life consequences they will create for hospitals serving our most vulnerable and hard-working families.