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. And our detailed and updated summary and section-by-section analyses 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. 

• 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
  • Even though the bill is law, Families USA will leave up its Defending Medicaid landing page. You can find district fact sheets, state-specific resources, and other resources we developed for the fight to protect Medicaid.

• Report: Rural Hospital Revenue Could Drop by $87 Billion over 10 Years Because of the Reconciliation Bill and Expiring Enhanced Tax Credits, Urban Institute.

• Insights Blog: Marketplace Final Rule Sets Major Hurdles to Coverage, Families USA.

• Blog: Up to 2.1 Million Community Health Center Patients at Risk of Losing Private Coverage, GW Milken Institute School of Public Health.

• Brief: Immigrants Care: How Immigrant Early Educators Hold Up the Care Economy, NWLC.

• Report: Working America Relies on Medicaid: Congress Must Protect Essential Workers from Devastating Medicaid Cuts, 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, 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.

• 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 

  • Maine Public  - Maine Equal Justice expresses concern over the health implications of proposed budget bill 

  • KHQA-TV (ABC affiliate for the IA, MO, IL tri-state area) - One, Big, Beautiful "Abomination": Advocacy groups nationwide oppose Trump's budget bill 

  • Wyofile - Medicaid, insurance cuts in ‘Big, Beautiful Bill’ will harm Wyoming, health care advocates warn

  • Charleston (WV) Gazette-Mail - WV senators back GOP megabill expected to make deep social safety, energy cuts

Have a great week,

Nate Keller

Senior Associate, Organizing and Mobilization

Families USA

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