U.S. Senate HELP Committee Requests Provider Input on Medicaid Cuts

(June 17, 2025) In response to current budget reconciliation (H.R. 1, the One Big Beautiful Bill Act) negotiations, which include the largest cuts in history to Medicaid and the Affordable Care Act (ACA), Senate Health, Education, Labor, and Pensions (HELP) Committee Ranking Member Bernie Sanders (I-VT) announced a call for provider input with a deadline of June 20, 2025.

His asks about the impact of cuts outlined in the budget reconciliation bill passed by the House on May 22^nd include:

1. How would the health care provisions in the House reconciliation bill impact your ability to care for patients?
2. Would the proposed cuts to Medicaid and the ACA require you to cut back on clinical staff, services, or care delivery? Please explain if possible.
3. What do you think will be the overall effect of the health care provisions in the House reconciliation bill on the American people?
4. Would Medicaid work requirements, more frequent Medicaid eligibility reviews, and more burdensome documentation requirements associated with enrollment in ACA coverage require you to hire specialized administrative staff? If so, how many staff members do you anticipate hiring?
5. How many additional hours of paperwork do you anticipate having to complete on behalf of patients to help them keep their insurance coverage?
6. How do you anticipate the moratorium on Medicaid provider taxes will affect access to care and payment rates for struggling providers in your state?
7. How will rescinding the eligibility and enrollment regulations impact older adults, people with disabilities, and children? Will it result in higher premiums, higher out-of-pocket costs, and higher uninsured rates for these populations?

Please share your stories with the Senate HELP Committee by answering any of the above questions and emailing your responses directly to the Committee at providerinput@help.senate.gov. The deadline, again, is June 20^th.

Based on the budget bill approved by the House, NY's health care economy is estimated to lose approximately $13.5 billion in federal funding. However, the most recent version of the Senate budget reconciliation bill released on June 16^th includes additional changes to state provider taxes, which could result in billions more in funding losses for NY. Members are encouraged to consider NYS funding impacts, as well as LeadingAge National's talking points on the House budget bill, to help inform your input to the Senate HELP Committee. However, the most important goal is to put the potential impacts of the federal budget in real terms by describing specifically how they could impact your organization, consumers, and families.

Thank you for your input on this important process which will impact the health care funding available to NY and its aging services providers.

Contact: Sarah Daly, sdaly@leadingageny.org​​​​​​​