Dear Health Advocates,

Families USA invites you to a Special Edition Big Tent Call TODAY, Tuesday, June 24 from 4:00-5:00 pm ET. On this call we'll provide an update on the status of the reconciliation bill, share new resources and ways you can make your voice heard with your members of Congress this week, and highlight the work of state and national advocates. Register here.

With just 10 days until their July 4th deadline, Republicans and Democrats are working this week with the Senate Parliamentarian on the Senate Finance Committee's portion of the reconciliation bill. Over the weekend, the Parliamentarian ruled on several provisions, including a SNAP cut plan that would have shifted costs for food aid to state governments. Republicans with either need to rewrite the provision or will ignore the parliamentarian, which would create a dangerous precedent. We expect Republicans to move the full bill to the Senate floor potentially as soon as Wednesday.

Earlier this week, Families USA released a new report detailing how federal Medicaid cuts included in the current budget reconciliation bill would impact hospital revenues and drive independent rural hospitals to the brink of closure. These findings bolster evidence that cuts to Medicaid severely threaten the financial viability of rural health care providers (including independent rural providers) across the nation and will further exacerbate hospital consolidation in rural communities.

Finally, health, faith and anti-hunger advocates across the country are joining together for a relay fast to demonstrate the harmful impacts of the reconciliation bill and its cuts to Medicaid and SNAP. Cohorts are fasting for 24 hours before passing it to the next cohort until Congress goes on break. Join and share the fast at ProtestFast.org and use the #EmptyPlatesProtest. FRAC, Families USA, Coalition on Human Needs and other national organizations will host a 30 minute webinar on the #EmptyPlatesProtest on June 25th at 3:00pm ET. 

Families USA and our partners have numerous other ways for you to get involved and make your voice heard this week, including:

• Call to Action
  • Join Families USA and other health advocates in telling your Senator - Hands Off Medicaid and the ACA!
• Health Action Resource List
  • As a reminder, Families USA's Health Action Resources List can be found on our website, where we compile resources from our partners for all of you to access in one place. You can find that page here.
• Defending Medicaid Landing Page
  • Families USA has a Defending Medicaid landing page! You can find district fact sheets, state-specific resources, and any other resources you may need for your advocacy in protecting and defending Medicaid.
  • See our letter opposing the "One Big Beautiful Bill Act" here!

• Explainer: How Consumers May be Harmed if Congress Funds Cost-Sharing Reductions, Families USA.

• Blog: We Interrupt This Program for a Marketplace Alert: Reenrollment Rollback Risks Significant Coverage Loss, The 80 Million.

• Fact Sheet: 16 Million Americans Will Lose Their Health Care Under the GOP Tax Scam, Protect Our Care.

• Section by Section Analysis: Senate Finance Budget Reconciliation Bill Breakdown, Families USA.

• One Big Beautiful Bill Summary: Harmful Impacts of Proposed House Budget Bill the “One Big Beautiful Bill Act” on Medicaid, Affordable Care Act, and Medicare 

• Affordability Agenda: Making Health Care Affordable: Reining In Health Industry Abuses To Lower People’s Costs Without Cutting Coverage, Families USA.

• Report: Medicaid is a Critical Support for the Early Childhood Education Workforce,  Georgetown CCF.

• Blog: Proposed Medicaid Cuts Could Jeopardize Health Care Access for 3 in 10 Young Adults, Urban Institute.

• Blog: Nearly 5.6 Million Community Health Center Patients Could Lose Medicaid Coverage Under New Work Requirements, with Revenue Losses Up to $32 Billion, The Commonwealth Fund.

• Article: How Medicaid Cuts Will Hurt Health Care for Everyone, Center for Economic and Policy Research.

• Analysis: House Reconciliation Bill Proposes Deepest SNAP Cut in History, Would Take Food Assistance Away From Millions of Low-Income Families, CBPP.

• Video: 90 Seconds or Less Policy Explainers. Families USA.

• Resources: State Marketplace Network Federal Resources, State Marketplace Network.

• Fact Sheet Graphics: Congressional Medicaid Fact Sheet Social Graphics, Families USA.
• Fact Sheets: Congressional Medicaid Fact Sheets, Families USA.

• Resource: Article and State Data Table on Medicaid cuts to elderly and disabled Americans, Milken Institute

• State Research: How Work Requirements Would Affect Medicaid Coverage in Each Expansion State, Robert Wood Johnson Foundation. 
• State Maps and Commentary: States in the Bull’s-Eye of Medicaid Cuts, The Century Foundation.
• Toolkit: Analyzing the Impact of Potential Medicaid Cuts: A Toolkit for States, State Health and Value Strategies.
• Fact Sheets: Medicaid Mental Health Fact Sheets for All 50 States and DC, NAMI.
• Fact Sheets: Medicaid and Its Role for Older Adults in All 50 States and DC, AARP.

• Sign On Letter Wrap Up: More than 85 National Organizations Urge Senate to Reject “One Big Beautiful Bill Act” Health Care Cuts and Prioritize Transparency, Rigor of Analysis, and Constituents’ Health Access (06/15/2025), Families USA.
• Analysis: Medicaid Expansion Reduces Maternal Mortality: Medicaid Cuts Would Be Deadly for Mothers and Babies, Families USA.

• Fact Sheet: Fact Sheet: Republicans Are Working to Gut Medicaid, a Lifeline for People With Mental Health Conditions and Opioid Addiction, Protect Our Care.

• Insights Blog: Work Reporting Requirements Don’t Work: An in-depth look as Idaho moves closer to adding costly red tape to Medicaid, Families USA.

• Medicaid Work Requirements Fact Sheet: Medicaid Work Reporting Requirements: Bureaucratic Burdens That Threaten Working Families, Providers and Local Economies, Families USA.

• Press Release: Health Advocates Launch Campaign to Share Stories of Americans Impacted by Devastating Health Care Cuts, Families USA.

Have a great week,

Nate Keller

Senior Associate, Organizing and Mobilization

Families USA

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