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Dear Health Advocates,
Congress is back in session this week and is working to finalize a recissions package that includes large cuts to foreign aid and public broadcasting. The Senate is set to begin voting as early as today, and the bill's passage could impact the viability of a bipartisan solution to the upcoming government funding fight.
Although the so-called One Big Beautiful Bill Act (OBBBA) passed just two weeks ago, we must ensure that those who voted for the bill own the impacts — and the unpopularity. We encourage you to make that connection as an organization or individual and to focus on accountability. For example, make your voice hard by highlighting the bill’s impact on people, communities and state budgets here [[link removed]] .
We also know that coverage losses won't be immediate, but one of the impacts that consumers will see in the near term are premium increases. This is especially true given the bill did not include an extension of the enhanced premium tax credits for those purchasing insurance through the Affordable Care Act Marketplaces, which help 20 million Americans afford their monthly insurance premiums.
As our new Insights Column [[link removed]] outlines, recent Congressional and White House actions will have significant consequences on affordability and mark the first opportunity for the health insurance market to respond, as this is the time of year when insurers propose new rates for the 2026 plan year.
We also have new ways to engage this week and next, including:
* NEW! Call to Action: Email Your Members * Join Families USA in sending a message [[link removed]] to your members about their stance on the OBBBA. There is a pre-filled message about just how harmful this bill will be, but feel free to personalize the message to thank your members if they voted against this bill.


* THIS WEEK! Webinar: The Big Brutal Budget: What Advocates Need to Know and What Comes Next * Join the Coalition on Human Needs, Families Over Billionaires, and Caring Across Generations on Tuesday, July 15 at 3:00 PM ET for a debrief and strategy session: overview of what passed, how you can help mitigate the harm, protect your communities, and hold lawmakers accountable. Register 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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* Sign On Letter: The Campaign to Invest in America’s Workforce, Coalition for Health Funding, Coalition on Human Needs and Committee for Education Funding have joined together to draft a letter to lead appropriators in Congress seeking an adequate share of funding for Labor-Health and Human Services-Education appropriations in FY 2026. The deadline: Wednesday, July 16 @ 12:00 PM ET. 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! Insights Blog: Actions by Trump and Congress are Leading to Skyrocketing Insurance Premiums in 2026 [[link removed]] , Families USA.
* NEW! Press Release: Trump Administration’s Notice Rollbacks Existing Policy and Unjustly Denies Immigrants’ Access to Critical Health Services [[link removed]] , Families USA.
* NEW! Blog: Trump Rescission Proposal Builds on Illegal Impoundments, Would Undermine Future Funding Deals [[link removed]] , CBPP.
* NEW! Comments: Families USA Submits Comments On Preserving Medicaid Funding for Vulnerable Populations — Closing a Health Care-Related Tax Loophole Proposed Rule [[link removed]] , Families USA.
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* TODAY! Virtual Medicaid Convening Series: Substance Use and Mental Health * Please join us for a virtual convening hosted by Community Catalyst and Families USA focused on the current federal Medicaid landscape and the intersection with services for substance use disorders and mental health, scheduled for today, Tuesday July 15 from 2:00 – 3:30 PM ET. Register here [[link removed]] .


* NEXT WEEK: 60 Hour Medicaid Vigil * Caring Across Generations will be holding a 60 hour vigil on the National Mall starting on July 23rd at 9 pm until July 26th at 9 am. There are two main goals: 1) to use the vigil as a base for actions on the Hill and 2) to ensure that the live stream is more interactive for those at home. Find more details and register to sponsor an hour here [[link removed]] .


* UPCOMING: Families First Day of Action * Join MoveOn, National Domestic Workers Alliance, SEIU, and MomsRising on Saturday, July 26th, as they encourage the American people to come together in peaceful marches, rallies and events to say — our families come first, and we will protect each other. In all 50 states and Washington DC, Families First rallies will demand care over the cruel cuts and attacks on families that we’re seeing from Congress and the White House. The nationwide mobilizations organized by a coalition of unions, advocacy groups, faith leaders, and families committed to protecting democracy, dignity, and care. All events are grounded in nonviolence, community safety, and strategic protest. Find more details 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 * Argonaut, University of Idaho’s student newspaper - Idaho senators and representative signal support for Trump’s “Big Beautiful Bill” [[link removed]]


* 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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