One Big Beautiful Bill Act (OBBBA)

The Senate July 1, and the House July 3, passed a budget reconciliation bill, the One Big Beautiful Bill Act (OBBBA), H.R. 1, a sweeping package that enacts many of President Trump鈥檚 legislative priorities on taxes, border security, energy and deficit reduction. The bill includes significant policy changes to Medicaid and the Health Insurance Marketplaces.

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 House Budget Committee May 18 advanced the fiscal year 2025 budget reconciliation bill by a 17-16 vote along party lines, as four Republicans who previously opposed the bill in a May 16 markup flipped to 鈥減resent鈥 in yesterday鈥檚 tally.
The House Budget Committee May 16 voted 21-16 against advancing the fiscal year 2025 budget reconciliation bill, with five Republicans joining all Democrats in voting 鈥渘o.鈥
Three key House committees 鈥 Energy and Commerce, Ways and Means, and Agriculture 鈥 after long debates and discussions this week advanced their portions of a massive reconciliation bill aimed at realizing President Trump鈥檚 legislative agenda.
The House Energy and Commerce Committee today advanced by a 30-24 vote along party lines its portion of the fiscal year 2025 reconciliation bill following a markup that lasted more than 24 hours.
The House Ways and Means Committee today advanced its portion of the fiscal year 2025 reconciliation bill by a 26-19 vote along party lines, following an hours-long, overnight markup.
The House Energy and Commerce Committee May 13 is beginning to mark up its portion of the fiscal year 2025 reconciliation bill.
The House Ways and Means Committee May 13 began to mark up its portion of the fiscal year 2025 reconciliation bill, with some proposals impacting the health care field.
The AHA provides comments on Budget Reconciliation text that is to be considered by the House Energy and Commerce Committee.