Marketplace Issues/Stability

The House-passed One Big Beautiful Bill Act (OBBBA, H.R. 1) makes significant changes to the Affordable Care Act (ACA) marketplaces that would lead to millions of people losing their coverage and becoming uninsured.
The House May 22 passed the fiscal year 2025 budget reconciliation bill, the One Big Beautiful Bill Act by a 215-214 vote. The legislation includes significant impacts to Medicaid and the Health Insurance Marketplaces. 
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.
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.
The AHA's hospitals and health systems have significant concerns regarding the harmful Medicaid and Health Insurance Marketplace provisions currently included in the One Big Beautiful Bill Act (OBBBA).
The AHA April 11 commented on the Centers for Medicare & Medicaid Services’ 2025 Marketplace Integrity and Affordability proposed rule.
AHA responds to the Centers for Medicare & Medicaid Services (CMS) rule on marketplace integrity and affordability.
The Centers for Medicare & Medicaid Services (CMS) March 10 released new proposed policies for health insurance marketplaces, including the issuers, agents and brokers who assist marketplace enrollees. If finalized, the rule would shorten the open enrollment period for all marketplaces to Nov.…
Please ask your senators and representatives to prevent Medicaid disproportionate share hospital payment cuts from taking effect; extend enhanced low-volume adjustment and Medicare-dependent hospital programs that expand access to care in rural areas; and extend telehealth and hospital-at-home…