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 2:00 PM - 3:00 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.

After the new provisions were laid out, Families USA released a newly updated section by section breakdown and bill summary of the budget reconciliation bill. 

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 Representative - 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!

• Live Blog: By the Numbers: Senate Republican Leadership’s Health Agenda Takes Health Coverage Away From Millions of People and Raises Families’ Costs, CBPP.

• 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.

• 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.

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

• Report: How Medicaid and SNAP Cutbacks in the “One Big Beautiful Bill” Would Trigger Big and Bigger Job Losses Across States, The Commonwealth Fund

• 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.

• West Virgina Watch - Proposed Medicaid cuts would be detrimental, health leader says; 7 rural WV hospitals would close  

• Parkersburg (WV) News and Sentinel - Capito: Changes to Big Beautiful Bill Medicaid provisions create tighter timeline for passage

• KCRG-TV (ABC affiliate in Cedar Rapids, Iowa) - Mom who relies on Medicaid pushes for Sen. Ernst to vote no on ‘Big Beautiful Bill’ 

• Fresno Bee - Fresno teen with rare disease advocates against Medicaid cuts in Washington, D.C.

• 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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