What’s happening: On Tuesday, the U.S. Senate passed, largely along party lines and with Vice President JD Vance casting the tiebreaking vote, its version of the One Big Beautiful Bill Act (H.R. 1) — making even deeper cuts to Medicaid than the House of Representatives’ version that passed just a few weeks ago. California Sens. Adam Schiff (D) and Alex Padilla (D) voted against the legislation.
What else to know: This bill now heads back to the House, where representatives will decide whether to pass this version to President Donald Trump’s desk. If the president signs the bill, California would lose tens of billions of dollars in resources for hospital care over the next decade.
Though the Senate version was amended to remove the reduction in the federal match for the expansion population, it retained many other troubling provisions related to provider taxes and state-directed payments. Regardless of the state’s response to these cuts, California hospitals will need to find ways to care for patients with fewer resources.
On July 9 from 7:30-8:30 a.m. (PT), CHA will host a members-only executive briefing to provide the latest updates from Washington, D.C., and share insights on the possible implications for state policy. For more information and to register, visit the CHA website.
