Today (7/1/25) the Senate passed H.R.1 – the “One Big Beautiful Bill Act”, a sweeping budget bill that would devastate the mental health care system in America. This legislation includes massive cuts to Medicaid, a lifeline for millions of people living with mental illness. 

If this bill becomes law:

  • Millions will lose Medicaid coverage according to the Congressional Budget Office.
  • People on Medicaid will face higher out-of-pocket costs, forcing many to forgo essential care.
  • States will be forced to make painful decisions, likely resulting in worse benefits and more barriers for those who need help the most.
  • Hospitals—especially in rural areas—may close, further reducing access to lifesaving services.

Why This Matters:

Medicaid is the largest payer of mental health services in the U.S. Slashing this program means fewer people with mental illness will get the care they need, worsening outcomes for individuals, families, and communities nationwide.

The House must vote again on this bill and the last vote on this in the House was very close (215-214). Act now by contacting your representative and ask them to vote NO on H.R.1. Help us stop this bill in its tracks.

Please use the TAC template to email your U.S. House Representative and add your reasons for asking them to NOT vote for this bill.

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Thank you,

TAC Advocacy Team

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