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Dear Health Advocates,
The House adjourned early for their August recess last week, and the Senate will follow suit by end of this week. While members of Congress are in their districts over the next month it's our job (and yours) to remind them just how harmful their votes to cut health care in HR 1 are.
To help in your advocacy and in holding your members accountable, please see our new fact sheet [[link removed]] and insights blog [[link removed]] laying out the implementation timeline for HR 1 and how you can be better prepared for the impacts of this bill. You can find other recent resources below, and use our email writing form [[link removed]] to hold your members accountable or thank them for voting against HR 1.
In addition, since the reconciliation bill did not include an extension of the ACA's enhanced premium tax credits, we urge you to use this email writing form [[link removed]] to encourage your members to extend these enhanced tax credits before the end of the year and keep premiums lower for EVERYONE.
We also invite you to join Families USA, Community Catalyst, CBPP, and NHeLP on Friday, August 1 at 1 p.m. ET to discuss priority next steps for health advocacy, with a focus on August recess. During the call we’ll share ways to continue accountability efforts and advocate for the extension of the enhanced premium tax credits, without which costs in the marketplace will skyrocket next year. Register here [[link removed]] .
We have additional ways to engage this week, including:
* THIS WEEK! Medicaid Convening on Medical Debt * Please join Community Catalyst and Families USA for the next session in our virtual Medicaid convening series, taking place on Thursday, July 31, from 12:30 PM EST - 2:00 PM EST. This session will focus on how proposed Medicaid cuts are fueling the growing medical debt crisis in the United States. We’ll explore state-level strategies to address potential Medicaid shortfalls that threaten to deepen existing health inequities and economic injustice. 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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* NEW! Take Action: Send a letter [[link removed]] to your Senators and Representatives asking them to extend Enhanced Advanced Premium Tax Credits this year before they expire!
* Call to Action: Please join Families USA and Tell Your Members of Congress: Health Care Cuts Are Unacceptable: Email Writing Campaign [[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: A Trillion Dollar Cut to Care: The Fight for Medicare and Medicaid [[link removed]] , Families USA.
* NEW! Fact Sheet: Federal Budget Reconciliation Law Implementation Timeline for Key Medicaid, Medicare, and Marketplace Provisions [[link removed]] , Families USA.
* NEW! Insights Blog: Timeline of Trump’s New Health Care Law: What You Need to Know [[link removed]] , Families USA.
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* THIS WEEK: State Health Table Call * Please join Families USA, Community Catalyst, CBPP, and NHeLP on Friday, August 1st at 1 p.m. ET to discuss priority next steps for health advocacy, with a focus on August recess. During the call we’ll share ways to continue accountability efforts and advocate for the extension of the enhanced premium tax credits, without which costs in the marketplace will skyrocket next year. Register here [[link removed]] .


* THIS WEEK: Webinar - Medical Debt Advocacy in the Face of Federal Health Care Attacks * Please join Community Catalyst and Families USA for the next session in our virtual Medicaid convening series, taking place on Thursday, July 31, from 12:30 PM EST - 2:00 PM EST. 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
* Blog: A Cut by Any Other Name: How “Strengthening” Asset Tests Hurts Medicaid [[link removed]] , NHeLP.
* Blog: Medicaid Work Requirements Will Take Away Coverage From Millions: State and Congressional District Estimates [[link removed]] , Center on Budget and Policy Priorities.


* Blog: What Does the 2025 Reconciliation Law (H.R. 1) Mean for Older Adults and People with Disabilities on Medicare? [[link removed]] Commonwealth Fund.


* Blog: States Pursuing Medicaid Work Requirement Waivers Must Make Changes: How the OBB Changed the Landscape for Medicaid Work Requirements [[link removed]] , Georgetown Center for Children and Families.
* Insights Blog: Not Just a Budget Cut: How 17 Million Lives Are Being Harmed by “One Big Beautiful Bill” [[link removed]] , Families USA.
* Insights Blog: Actions by Trump and Congress are Leading to Skyrocketing Insurance Premiums in 2026 [[link removed]] , Families USA.
* 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.


* Video: 90 Seconds or Less Policy Explainers. [[link removed]] Families USA.


State Resources
* 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.
* Comments: Families USA Submits Comments On the Iowa Health and Wellness Plan 1115 Demonstration Amendment [[link removed]] , Families USA.
* 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.
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.


Other Resources
* Media Coverage of Families USA and State Partners Advocacy Work * Maine Morning Star: Medicaid cuts could cost Maine hospitals $66 million a year, report finds [[link removed]]
* Charleston Gazette Mail: Already struggling WV hospitals brace for costly budget reconciliation law impacts [[link removed]]
* Argonaut, University of Idaho’s student newspaper - Idaho senators and representative signal support for Trump’s “Big Beautiful Bill” [[link removed]]




* Press Release: Families USA’s Statement on the CMS Annual Proposed OPPS Rule [[link removed]] , Families USA.
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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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