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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.
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.
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.
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.
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.
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.
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.
CMS issues letters to states on oversight of Medicaid, CHIP eligibility and certain demonstration authorities
The Centers for Medicare & Medicaid Services July 17 issued two letters to states regarding policies on continuous eligibility and workforce initiatives.