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Dear Health Advocates,
The Senate, with the tie-breaking vote from JD Vance, just passed the largest cuts to Medicaid EVER in the budget reconciliation bill. Over the weekend, the Senate passed a motion to proceed to debate and Republicans have been working behind closed doors to secure the 50 member votes they need to pass this bill back to the House. The Senate's vote-a-rama was historic, with 45 consecutive votes. Now that it has passed, we expect House Republicans to move quickly to vote on the Senate's updates to the bill on Wednesday or Thursday.
Community Catalyst, Families USA, NHeLP, and the Center on Budget and Policy Priorities invite you to a July Medicaid Defense Updates and Strategy Call TODAY , Tuesday, July 1 from 1:00 PM - 2:00 PM ET . On this call we'll walk through the latest intel and updates around the health-related provisions of the reconciliation package, its impact, and strategies for next steps. Register here [[link removed]] .
After the new provisions were laid out, Families USA released a newly updated section by section breakdown [[link removed]] and bill summary [[link removed]] of the budget reconciliation bill .
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 [[link removed]] and use the #EmptyPlatesProtest. This fasting protest will go on until Congress' July 4 recess.
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 [[link removed]] !


* 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 [[link removed]] .


* Defending Medicaid Landing Page * Families USA has a Defending Medicaid landing page [[link removed]] ! 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 [[link removed]] !


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* Email Writing Campaign: Tell Your Senator - No Cuts to Medicaid or the ACA! [[link removed]] Families USA.
* Email Writing Campaign: Send a message to Congress telling them to reject draconian cuts and to strengthen human needs programs [[link removed]] , Coalition on Human Needs.
* Contact Your Legislators about the "One Big Beautiful Bill Act:" Take Action with YES! Access. [[link removed]]
* Email Writing Campaign: Tell Congress: Reject Medicaid cuts that will pay for more tax cuts for the rich. [[link removed]] Coalition on Human Needs.
* Join the #EmptyPlatesProtest and relay fast [[link removed]] for 24 hours any day starting June 23rd, 2025 to protest massive cuts to health care, food assistance, and other basic needs.
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* NEW! Press Release: Families USA Urges Senate to Vote Against Big, Bad Budget Bill that will Devastate American Health Care System [[link removed]] , Families USA.
* NEW! Report: Working America Relies on Medicaid: Congress Must Protect Essential Workers from Devastating Medicaid Cuts [[link removed]] , Families USA.
* NEW! Report: Rural Hospital Revenue Could Drop by $87 Billion over 10 Years Because of the Reconciliation Bill and Expiring Enhanced Tax Credits [[link removed]] , Urban Institute.
* NEW! Blog: Up to 2.1 Million Community Health Center Patients at Risk of Losing Private Coverage [[link removed]] , GW Milken Institute School of Public Health.
* NEW! Brief: Immigrants Care: How Immigrant Early Educators Hold Up the Care Economy [[link removed]] , NWLC.
* NEW! Insights Blog: Marketplace Final Rule Sets Major Hurdles to Coverage [[link removed]] , Families USA.
* NEW! Press Release: Patient Choice and Rights Restricted in Supreme Court Decision Medina v. Planned Parenthood South Atlantic [[link removed]] , Families USA.
* NEW! Press Release: In Braidwood Ruling, SCOTUS Upholds Popular ACA Requirement to Fully Cover Key Preventive Services [[link removed]] , Families USA.
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* TODAY! July Medicaid Defense Updates and Strategy Call * As Senate and House leadership move forward in their plans to finalize the reconciliation bill, please join Community Catalyst, Center on Budget and Policy Priorities (CBPP), NHeLP, and Families USA on Tuesday, July 1 from 2:00 - 3:00 p.m. ET to walk through the latest intel and updates around the health-related provisions of the reconciliation package, its impact, and strategies for next steps. In the meantime, the fight is not over! Please continue to make your voices heard to your Members of Congress about how this bill will harm people in your states and communities. Register here [[link removed]] .


* Advocates Meeting: Wednesday Advocates Meeting Zoom call [[link removed]] , Coalition on Human Needs hosting every Wednesday at 9:30 AM ET.
* Shared Advocacy Calendar: Coalition on Human Needs [[link removed]] . Check out weeks of action and upcoming events!
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National Resources
* Live Blog: By the Numbers: Senate Republican Leadership’s Health Agenda Takes Health Coverage Away From Millions of People and Raises Families’ Costs [[link removed]] , CBPP.


* Explainer: How Consumers May be Harmed if Congress Funds Cost-Sharing Reductions [[link removed]] , Families USA.


* Blog: We Interrupt This Program for a Marketplace Alert: Reenrollment Rollback Risks Significant Coverage Loss [[link removed]] , The 80 Million.


* Fact Sheet: 16 Million Americans Will Lose Their Health Care Under the GOP Tax Scam [[link removed]] , Protect Our Care.


* Section by Section Analysis: Senate Finance Budget Reconciliation Bill Breakdown [[link removed]] , 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 [[link removed]?]


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


* Blog: Proposed Medicaid Cuts Could Jeopardize Health Care Access for 3 in 10 Young Adults [[link removed]] , 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 [[link removed]] , The Commonwealth Fund.


* Video: 90 Seconds or Less Policy Explainers. [[link removed]] Families USA.


State Resources
* Report: How Medicaid and SNAP Cutbacks in the “One Big Beautiful Bill” Would Trigger Big and Bigger Job Losses Across States [[link removed]] , The Commonwealth Fund


* Fact Sheets: Congressional Medicaid Fact Sheets [[link removed]] , Families USA.
* Resource: Article and State Data Table on Medicaid cuts to elderly and disabled Americans [[link removed]] , Milken Institute


* State Research: How Work Requirements Would Affect Medicaid Coverage in Each Expansion State [[link removed]] , Robert Wood Johnson Foundation.
* State Maps and Commentary: States in the Bull’s-Eye of Medicaid Cuts [[link removed]] , The Century Foundation.
* Toolkit: Analyzing the Impact of Potential Medicaid Cuts: A Toolkit for States [[link removed]] , State Health and Value Strategies.
* Fact Sheets: Medicaid Mental Health Fact Sheets for All 50 States and DC [[link removed]] , NAMI.
* Fact Sheets: Medicaid and Its Role for Older Adults in All 50 States and DC [[link removed]] , AARP.
Medicaid Defense
* Sign On Letter Wrap Up: More t [[link removed]] han 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) [[link removed]] , Families USA.
* Analysis: Medicaid Expansion Reduces Maternal Mortality: Medicaid Cuts Would Be Deadly for Mothers and Babies [[link removed]] , Families USA.
* Fact Sheet: Fact Sheet: Republicans Are Working to Gut Medicaid, a Lifeline for People With Mental Health Conditions and Opioid Addiction [[link removed]] , 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, [[link removed]] Families USA.


* Medicaid Work Requirements Fact Sheet: Medicaid Work Reporting Requirements: Bureaucratic Burdens That Threaten Working Families, Providers and Local Economies, [[link removed]] Families USA.
Other Resources
* West Virgina Watch - Proposed Medicaid cuts would be detrimental, health leader says; 7 rural WV hospitals would close [[link removed]]


* Parkersburg (WV) News and Sentinel - Capito: Changes to Big Beautiful Bill Medicaid provisions create tighter timeline for passage [[link removed]]
* KCRG-TV (ABC affiliate in Cedar Rapids, Iowa) - Mom who relies on Medicaid pushes for Sen. Ernst to vote no on ‘Big Beautiful Bill’ [[link removed]]


* Fresno Bee - Fresno teen with rare disease advocates against Medicaid cuts in Washington, D.C. [[link removed]]


* Press Release: Health Advocates Launch Campaign to Share Stories of Americans Impacted by Devastating Health Care Cuts [[link removed]] , Families USA.
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Have a great week,
Nate Keller
Senior Associate, Organizing and Mobilization
Families USA
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