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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.
American Hospital Association Homepage | Hospitals USA
Issue Landing Page
Hospitals USA. The American Hospital Association (AHA) is the national organization that represents and serves all types of hospitals, health care networks, and their patients and communities. Nearly 5,000 hospitals, health care systems, networks, other providers of care and 43,000 individual members come together to form the AHA.
Meet Our AHA Associates
Issue Landing Page
Meet the current AHA Associate Program organizations - Our trusted network of AHA Associates offer innovative solutions that can support your hospital or health system during this time of transformational change.
Team Training | Center
Using the evidence-based TeamSTEPPS methodology, AHA Team Training offers education and resources to health care professionals that are proven to optimize team performance, improve patient safety, foster workforce well-being and support change management efforts.
Advocacy Issues
AHA is engaged on a number of evolving issues that impact the field and the patients and communities that hospitals and health systems serve. Each issue page explains the issue, outlines AHA’s position and provides resources and other supporting materials to help advocates succeed in their work.
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.
Advocacy Issue: Site-Neutral Payment Proposals
Hospitals and their associated facilities provide access to critical services that are not otherwise always available in the community and they treat patients with very severe conditions. Payment proposals that attempt to treat hospital outpatient departments the same as independent physician offices and other ambulatory sites of care ignore the very different level of care provided by hospitals and the needs of the patients and communities cared for in that setting.
Advocacy Issue: Rural MDH and LVA Programs
Rural hospitals receive additional support from Medicare to help address potential financial challenges associated with being rural, geographically isolated and low volume. These programs are Medicare-dependent Hospitals (MDHs), Low-volume Adjustment (LVA) and Sole Community Hospitals (SCHs).
Advocacy Issue: Telehealth Waivers
Recognizing both the immediate and potential long-term benefits of telehealth, we urge Congress, CMS and other executive agencies to take action to make critical telehealth flexibilities permanent.
Advocacy Issue: Hospital-at-Home Waivers
The hospital-at-home (H@H) model — where patients receive acute-level care in their homes, rather than in a hospital — has emerged as an innovative and promising approach to providing high-quality care to patients in the comfort of their homes. Congressional action is needed to extend the waivers for this program, which are set to expire March 31, 2025.