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The parliamentarian has ruled that increased federal Medicaid payments for Alaska and Hawaii violate the Byrd rule. Also increased Medicare rates for outpatient hospitals in those states.

New Center on Budget analysis on the Scott Amendment—the “grandfathering” here is a mirage. “We estimate that after five years, only 8% of expansion enrollees would still be subject to the 90% matching rate, effectively phasing out the higher matching rate in only a few years.”

☀️AM: VOTE A RAMA is beginning shortly in the capitol. An 8- to 10-hour process. Senate passage likely to come today. Many expect that Vice President JD Vance will have to break the tie. THE HOUSE will filter back into town tomorrow and Wednesday. House Freedom Caucus is already up in arms. The

Re-upping this piece given the Rick Scott FMAP amendment. Drastic cuts to #Medicaid will set off a four-alarm fire for contraceptive access.

Thune on if Scott FMAP amendment will pass: “I certainly hope it does, we’ll see where the votes are.”

Parliamentarian has ruled cutting off Planned Parenthood from Medicaid funds can stay in the bill, per senate Dems

🚨SENATE PASSES RECONCILIATION 51-50, VANCE BREAKS THE TIE GOP NO VOTES: COLLINS TILLIS PAUL

Final vote. 50-50. VP breaks the tie. One single GOP Senator could have stopped this abomination. Saved millions of parents from watching their child go hungry. Saved the lives destroyed when Medicaid disappears. They will all live forever with the horror of this bill.

Inside chamber just before Rs passed Trump agenda, the normally mild-mannered Maine senator Angus King shouted at his GOP colleagues for their vote “Shame on you guys. That was the most disgusting vote I’ve ever seen in my life,” King said loudly enough to be heard from gallery

We have not seen the final language but presume that the US Senate just voted 50-50 with Vance breaking the tie to pass the OBBB with over $1 trillion in Medicaid cuts. A sad day.

🚨Updated summary 🚨 kff.org/tracking-the-m…

HOUSE REPUBLICANS are telling members to go back to their offices. It does not look like a vote on the rule is imminent.

This news comes < 2 weeks since the Supreme Court's decision in Braidwood Management and < 1 week since Dan Gorenstein and Tradeoffs previewed the possibility that Sec. Kennedy would reshape the US Preventive Services Task Force (as he has with ACIP): tradeoffs.org/2025/07/03/sup…

HHS has expanded the list of public benefits — including community health centers — that several groups of immigrants, including undocumented immigrants, will be ineligible for. KFF polling shows these centers are a key source of care for many immigrants: on.kff.org/4kECc0Z

In her new #Crossroads article, Katie Keith of O'Neill Institute discusses how the One Big Beautiful Bill Act (OBBBA) will significantly roll back and fundamentally reshape access to health coverage and care in America, and also result in higher health care costs and red tape for

Not sure what to make of the Medicaid impacts from OBBA? The NYT helps break down some of the impacts to real people. #MedicaidMatters AAFP Advocacy One Rural Doctor on the Real Cost of Medicaid Changes nytimes.com/2025/07/14/pod…

Tomorrow at 1PM ET: Rep. Lizzie Fletcher and I are hosting a spotlight hearing—A Right at Risk: Protecting Contraception in the Post-Roe Era. We’ll hear from advocates fighting for reproductive freedom. Join us live.

👀In the name of “protecting vulnerable Americans” the Trump Administration will rip away Medicaid coverage from babies and toddlers👀 CMS announces Medicaid demos that 8 states are implementing to cover babies and young children continuously w/o gaps will no longer be allowed

"CBO never said that 4.8 million people were out of compliance with the proposed work requirements; they said that 4.8 million people would lose coverage because of the work requirements" Adrianna McIntyre (@adrianna.bsky.social) kffhealthnews.org/MjA2MTMyNQ via @kffhealthnews

"Destroying valuable medical items that were already paid for by U.S. taxpayers does nothing to combat waste or improve efficiency." npr.org/sections/goats…