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Senate Version of Reconciliation Bill Makes Cuts to Health Care Even Worse

June 18, 2025

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The Center for Medicare Advocacy is closely monitoring updates on the reconciliation bill being negotiated by Congress, which takes aim at Medicaid and Medicare and would harm millions of older adults, people with disabilities and their families. Earlier this week, the Senate Finance Committee released its text of the reconciliation bill. The text makes significant changes that would compound the harm in the version that passed the House last month (see KFF’s side by side analysis of health provisions below). NOW is the time to push back on these cruel cuts to health care that will devastate older adults, people with disabilities, caregivers, families, hospitals, and communities across the country.

Resources to guide advocates and beneficiaries in fighting back:

  • CMA Alert regarding a Medicare provision
  • KFF: Tracking the Medicaid Provisions in the 2025 Reconciliation Bill | KFF
  • Analysis released by the Congressional Budget Office (CBO): Distributional Effects of H.R. 1, the One Big Beautiful Bill Act
  • Analysis of the impact on rural hospitals:
    • Press Release: Data Detailing Hundreds of Rural Hospitals Across U.S. at Risk Due to Republican Health Care Cuts
    • How Badly Would Medicaid Cuts Hurt Healthcare Access in Rural America? – MedCity News
  • CBPP: Workers in Broad Range of Occupations at Risk of Having Their Coverage Taken Away by Medicaid Work Requirements
  • Small Business Owner Survey: Healthcare Costs | Small Business Advocacy
  • NAELA: Letter on Budget Reconciliation June 2025
  • National Health Law Program: Top 10 Ways the House Republicans’ Reconciliation Bill Will Harm People with Disabilities
  • National Health Law Program: Top 10 Reasons Why the Senate Finance Committee’s Reconciliation Bill Is Worse than the House-passed Bill Regarding Health Coverage
  • Families USA: Section-by-Section Comparison and Summaries of Health Care Provisions of House and Senate Versions of “One Big Beautiful Bill Act”

June 16, 2025 – K. Kertesz

Filed Under: Article Tagged With: Medicare and Health Care Reform, The Fight, Weekly Alert

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CMAorg avatar Center for Medicare Advocacy @CMAorg ·
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📣Federal cuts are expected to carve a $100M hole in the Alameda Health System’s budget

@CMAorg called H.R. 1 “the largest rollback of federal support for health care in American history”

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Federal cuts are expected to carve a $100M hole in the Alameda Health System’s budget 

Trump’s “Big Beautiful Bill” is forcing an unprecedented $1 trillion cut to Medicaid spending. At the East Bay...

oaklandside.org

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CMAorg avatar Center for Medicare Advocacy @CMAorg ·
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You may be paying more than you need to. Medicare Savings Programs can help pay your Medicare premiums & other costs. Many people qualify and don’t know it. These programs could save you thousands each year.
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Medicare Savings Programs

Get help from your state paying your Medicare Part A (Hospital Insurance) and Part B (Medical Insurance) premiums through a Medicare Savings Program.

www.medicare.gov

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Lots of retirees hit the road before winter comes to go to a warmer state. However, it's important to know how your Medicare coverage works when traveling between two states.

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Each Medicare plan works differently when you're away from your permanent residence. Here's what you need to know ...

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