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.

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 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 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.
• 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

  • Argonaut, University of Idaho’s student newspaper - Idaho senators and representative signal support for Trump’s “Big Beautiful Bill”

  • 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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