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ACTION NEEDED
A Senate vote on even deeper cuts to Medicaid than those in the bill that passed the House of Representatives just a few weeks ago is imminent.
CHA needs hospitals’ help to make sure California’s Republican representatives understand that these cuts go far beyond eliminating waste and are far too deep for hospitals to simply “absorb.” If these cuts pass, they would shatter both access to vital health care services and local economies throughout California.
Hospitals should be as candid as possible — share the challenging decisions that will have to be made about jobs, service lines, and more.
In addition to asking your representative to consider voting against these deeper cuts, hospitals should emphasize that major changes to Medicaid finances cannot happen overnight — as with any business, hospitals need time to adjust and adapt; a two- to three-year runway would help hospitals prepare to operate in a new environment.
TIMING
Call, text, or email your representatives immediately and over the next week to share your concerns and thoughts about how these cuts will affect your hospital, your patients, and your community — both from a health care standpoint and the impact on jobs in your congressional district.
RESOURCES
- Federal Advocacy Resource Page
- Lawmaker Contact Information
- Senate Bill Impact Analysis by Congressional District
BACKGROUND
Congress continues its work on the One Big Beautiful Bill Act, the president’s domestic policy agenda to cut taxes, secure the border, and reduce spending. Unfortunately, Medicaid spending is in the crosshairs as a major way to offset the expenses of the tax cuts. Last month, the House of Representatives passed its version of the bill, H.R. 1, which called for more than $800 billion in cuts to Medicaid. Last week, the Senate proposed to take those Medicaid cuts even further, jeopardizing both provider taxes and state directed payments, vital financing mechanisms for California hospitals. CHA’s preliminary analysis of the impact of the Senate bill suggests that California could see as much as $118 billion in hospital cuts over 10 years in a worst-case scenario.