American Academy of Nursing Response to Senate Amendments to the One Big Beautiful Bill (H.R. 1)

The American Academy of Nursing (Academy) maintains our immense concern for the changes to the Medicaid, CHIP, and SNAP programs as outlined in the Senate’s amendments to the One Big Beautiful Bill (H.R. 1), which will be voted on this week. The Senate’s reconciliation bill will limit access to vital health care coverage, impose challenging eligibility criteria, add administrative burden to states, and most devastatingly, negatively impact the well-being of millions of people across the United States including children, families, people with disabilities, and older adults who rely on Medicaid for their health care. Moreover, the rural hospital fund, while increased in the Senate legislation to $25 billion, provides little sustainability, with no clear path for long-term support of rural hospitals, community centers, and nursing homes. The Senate also proposes to prohibit the implementation of the nursing home final rule for which the Academy supported a number of provisions so that nursing home residents receive the care they need and deserve. The Academy strongly recommends that the Senate take action to protect essential funding for federal health care programs as the budget reconciliation bill moves through Congress. 

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