On September 25, 2025, the Academy joined over 350 organizations on a letter to Congress led by the Disability and Aging Collaborative urging the passage of the Protecting Healthcare and Lowering Costs Act of 2025 (S.2556/H.R.4849). This legislation would repeal the harmful cuts to Medicaid in H.R. 1, restore Medicaid, Medicare, and Affordable Care Act (ACA) funding and programs, and protect millions of low and middle income Americans by making the enhanced premium health care tax credits permanent.

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On September 23, the Academy joined 36 members of the Mental Health Liaison Group (MHLG) in a letter to Congressional leadership urging the extension of the enhanced premium health care tax credits as a part of the government funding that expires on September 30th. These credits help make health insurance more affordable and accessible by lowering the monthly premiums for Americans who buy coverage in the state and federal Marketplaces. 

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On July 4, 2025, the American Academy of Nursing (Academy) expressed its disappointment by the enactment of the One Big Beautiful Bill Act (H.R. 1), which is now signed into law.

On July 1, 2025, the Academy reiterated our deep concern for the changes to the Medicaid, CHIP, and SNAP programs as outlined in the One Big Beautiful Bill Act (H.R. 1), which passed in the Senate that afternoon. The Academy adamantly implores that the House take action to protect essential federal health care programs as the budget reconciliation moves forward for a vote.

On June 30, 2025, the Academy released a statement maintaining its 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.

On June 30, 2025,The Academy joined over 60 other members of the Mental Health Liaison Group (MHLG) on a letter to House leaders urging the House to protect individuals and families living with behavioral health conditions by rejecting changes to Medicaid within the budget reconciliation One Big Beautiful Bill Act (H.R. 1).

On June 27, 2025, the Academy joined 137 organizations on a letter led by the Alliance for Women’s Health and Prevention (AWHP) and other women's health associations to Senate Leadership expressing deep concern and strong opposition to the Medicaid cuts proposed in the Senate Finance Committee’s budget reconciliation package, which jeopardize health and well-being and risk a reversal of decades of progress.

On June 20, 2025, the Academy submitted comments to the Senate Health, Education, Labor, and Pensions (HELP) Committee in response to a request for information on the impact of the budget reconciliation One Big Beautiful Bill Act passed by the House of Representatives on federal health care programs, recommending that Congress avoid cuts and take action to protect essential funding for federal health care programs.

On June 12, 2025, the Academy joined over 190 organizations with the Modern Medicaid Alliance (MMA) on a letter to the Senate urging Senate Leadership to reject any cuts to Medicaid and ensure continued access to health care for millions of Americans, opposing unprecedented coverage loss and limits to care from proposed Medicaid cuts in the budget reconciliation bill.

On June 10, 2025, the Academy joined 53 other members of the Mental Health Liaison Group (MHLG) in a letter urging leaders of the Senate Committee on Finance and the Senate Committee on the  Budget to reject House-passed changes to Medicaid within the budget-reconciliation bill. The cuts to Medicaid funding and benefits outlined in the House bill would disproportionately harm people with mental health (MH) conditions and substance use disorders (SUD).

On June 9, 2025, the Academy sent a letter to the Senate Committee on Finance and the Senate Committee on the Budget regarding grave concerns on the substantial cuts outlined for Medicaid as a result of the One Big Beautiful Bill Act (H.R. 1) passed by the House of Representatives. These drastic cuts to Medicaid would cause substantial harm to millions of people across the United States including children, families, people with disabilities, and older adults who rely on Medicaid for their health care. The Academy strongly recommends Congress avoid cuts to this vital program and take action to protect this essential funding.

On June 5, 2025, the Academy joined 1,100 organizations on a letter led by the Disability and Aging Collaborative to leaders in the Senate expressing concern about the budget reconciliation One Big Beautiful Bill Act. The harmful cuts and changes to Medicaid and the Affordable Care Act (ACA) in the bill would result in at least 10.9 million people becoming uninsured, including millions of people with disabilities and older adults. When factoring in expiration of ACA premium tax credits, the number of people who would become uninsured rises to 16 million.

On May 20, 2025, the Academy joined over 700 organizations on a letter led by the Disability and Aging Collaborative to leaders in the House of Representatives expressing concern about the One Big Beautiful Bill Act. The harmful cuts and changes to Medicaid and the Affordable Care Act would result in at least 13.7 million people having their coverage taken away, including millions of people with disabilities and older adults.

On May 9, 2025, the Academy sent a letter to the House Committee on Energy and Commerce and the House Committee on the Budget regarding anticipated substantial cuts to the Medicaid program as a result of the House budget resolution. This resolution instructs the Energy and Commerce Committee to reduce the federal deficit by $880 billion over ten years to the programs under its jurisdiction which includes Medicaid. Drastic cuts to Medicaid would cause substantial harm to millions of people across the United States including children, families, people with disabilities, and older adults who rely on Medicaid for their health care.

On February 20, 2025, the Academy sent a letter to Sen. Markey (D-MA) in support of the Alleviating Barriers for Caregivers (ABC) Act. The ABC Act would help reduce burdens affecting family caregivers in Medicare, Medicaid, CHIP, and the Social Security programs.

On January 29, 2025, the Academy joined 51 other members of the Mental Health Liaison Group (MHLG) in a sign on letter urging leaders of Congress to protect access to the mental health and substance use disorder services provided by Medicaid, which is the single largest payer of mental health and substance use disorder services in the US.