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Dear Health Advocates,
Late last week, House Republicans passed through the Senate's version of the reconciliation bill. On Friday, President Trump signed the bill, enshrining the most aggressive cuts to Medicaid and SNAP in the history of the programs.
The harm to our health coverage, costs, and care is hard to overstate. A non-exhaustive list includes: 17 million Americans will be pushed and priced out of coverage in Medicaid and the marketplaces; millions more who surmount the new bureaucratic barriers will face increased cost-sharing and/or a spike in premiums; and scaled-back services and closures of already vulnerable community institutions, from rural hospitals to maternity wards to Planned Parenthood clinics to nursing homes. The devastating harm will be felt in our health system and through many other ways by families across the country, who will go hungry or get harassed by federal immigration enforcement.
You can read the statement from Families USA Executive Director Anthony Wright here [[link removed]] . And our detailed and updated summary [[link removed]] and section-by-section analyses [[link removed]] of the bill are available on our website to support your efforts.
Tomorrow, Wednesday, July 9, we will host a call from 2:00 PM - 3:00 PM ET with the Center on Budget and Policy Priorities, Community Catalyst, and NHeLP for our state partners to debrief from the actions last week and discuss next steps around accountability, affordability messages focused on Marketplace changes, and upcoming advocacy opportunities. Register here [[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 * Even though the bill is law, Families USA will leave up its Defending Medicaid landing page [[link removed]] . You can find district fact sheets, state-specific resources, and other resources we developed for the fight to protect Medicaid.


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* NEW! Sign On Letter: STOP THE CUTS & INVEST IN OUR HOMES * Please join People’s Action Institute’s organizational sign-on letter to Congressional appropriators telling them not to cut HUD funding. The House will begin to mark-up the THUD appropriations bill next week. The letter also calls on Congress to make a trillion dollar investment in permanently affordable housing a la the Homes for All Act. Sign on here [[link removed]] .


* Join the #YesAccess [[link removed]] movement: a national, disability-led movement focused on centering the voices of people with disabilities through storytelling, coalition-building, and focusing on lived experiences. Take action [[link removed]] on a number of federal policies along with using the #YesAccess hashtag
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* NEW! Press Release: Families USA Statement After Republicans Force Through Biggest Cuts to Medicaid in History [[link removed]] [[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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* TOMORROW! 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 Wednesday, July 9 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]] .


* THIS WEEK! Webinar: Due Process Denied: How the Trump Administration’s Immigration Policies Threaten Our Civil Rights * The Trump administration’s immigration agenda is rooted in denying due process, tearing communities apart, and suppressing dissent. These attacks aren’t just about immigration—they’re part of a broader assault on civil rights that threatens us all. Join us for a timely conversation on the deepening harms of Trump’s enforcement regime, the lasting impact on families, the Republican legislation that would further entrench this dangerous system—and learn about the powerful work frontline organizations are doing to defend civil rights and justice for all. 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
* 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.


* Insights Blog: Marketplace Final Rule Sets Major Hurdles to Coverage [[link removed]] , Families USA.


* 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.


* Brief: Immigrants Care: How Immigrant Early Educators Hold Up the Care Economy [[link removed]] , NWLC.


* Report: Working America Relies on Medicaid: Congress Must Protect Essential Workers from Devastating Medicaid Cuts [[link removed]] , Families USA.


* 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
* Media Coverage of Families USA and State Partners Advocacy Work * Kern (CA) Sol News - New work reporting rules in budget bill could strip healthcare from caregivers and low-income families [[link removed]]


* [[link removed]] Maine Public - Maine Equal Justice expresses concern over the health implications of proposed budget bill [[link removed]] [[link removed]]
* KHQA-TV (ABC affiliate for the IA, MO, IL tri-state area) - One, Big, Beautiful "Abomination": Advocacy groups nationwide oppose Trump's budget bill [[link removed]]


* [[link removed]] Wyofile - Medicaid, insurance cuts in ‘Big, Beautiful Bill’ will harm Wyoming, health care advocates warn [[link removed]] [[link removed]]


* Charleston (WV) Gazette-Mail - WV senators back GOP megabill expected to make deep social safety, energy cuts [[link removed]]


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CONNECT [[email protected]?subject=Wanting%20to%20connect&body=] GIVE FEEDBACK [[link removed]]
Have a great week,
Nate Keller
Senior Associate, Organizing and Mobilization
Families USA
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