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Rural Hospitals at Risk: Cuts to Medicaid Would Further Threaten Access
The One Big Beautiful Bill Act (H.R. 1) would result in 1.8 million individuals in rural communities losing their Medicaid coverage by 2034. In addition, select Medicaid provisions in H.R. 1 would result in a $50.4 billion reduction in federal Medicaid spending on rural hospitals over 10 years.
Advocacy for the health care physical environment profession
The American Society for Health Care Engineering (ASHE) advocacy team works to monitor and unify the many overlapping codes and standards regulating the health care physical environment.
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.
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.
CMS Finalizes 2025 Marketplace Integrity and Affordability Rule
The Centers for Medicare & Medicaid Services June 20 finalized its 2025 Marketplace Integrity and Affordability rule, intended to establish new standards for the health insurance marketplaces and address improper and fraudulent enrollments.
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 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.
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.
Home Health Prospective Payment System Proposed Rule for CY 2026
The Centers for Medicare & Medicaid Services (CMS) June 30 issued its proposed rule for the calendar year (CY) 2026 home health (HH) prospective payment system (PPS). Comments are due Sept. 2, and a final rule is expected around Nov. 1. New policies would generally be effective Jan. 1, 2026.