No. of Recommendations: 4
But the Democrats have been overwhelmingly consistent in repeating, over and over again, that they would not vote for the CR unless the ACA subsidies were extended. They were never asking for anything as big as $1.5 trillion....which might make you wonder why the GOP didn't sit down with them and come up with a number.Among other things. Just because the media repeats, "The democrats are standing firm on ACA subsidies"
doesn't mean in the slightest that was their ONLY demand. They basically wanted to roll back much of the OBBB and all its core Medicaid provisions. Hence, the accusation of wanting health care for illegal aliens (something they used to support openly).
First, let's go directly to what the CBO said about the OBBB:
https://www.cbo.gov/system/files/2025-06/Arrington...CBO estimates that enacting the Medicaid provisions in title IV would
increase the number of people without health insurance by 7.8 million in 2034
relative to baseline projections under current law.1 Of that number:
• About 4.8 million would be able-bodied adults between the ages of
19 and 64 who have no dependents and who do not meet the
community engagement requirement in section 44141 for participating
in work-related activities at least 80 hours a month.
• About 1.4 million would be people who do not meet citizenship and
immigration status requirements for Medicaid enrollment but who
would be covered under current law in programs funded by the states.
• About 2.2 million would become uninsured because of other provisions
in H.R. 1, including provisions increasing the frequency of verification
of eligibility to enroll in Medicaid or those that would lead states to
change their Medicaid enrollment requirements in response to federal
policy changes.
• CBO estimates that the interactions among the policies would, on net,
reduce the number of people without health insurance by 600,000 in
2034 relative to the sum of the estimated effects of the individual
policies because some people would become uninsured under more
than one policy.The democrats submitted this legislation into the Senate in September:
https://www.congress.gov/119/bills/s2882/BILLS-119...Subtitle B of title VII of the Act titled ‘‘An Act to
provide for reconciliation pursuant to title II of H. Con.
Res. 14’’ (Public Law 119–21) is repealed and any law
or regulation referred to in such subtitle shall be applied
as if such subtitle and the amendments made by such sub
title had not been enacted.Pubic Law 119-21 is of course the One Big Beautiful Bill.
https://www.govinfo.gov/content/pkg/PLAW-119publ21...And that part is..
Subtitle B—Health
CHAPTER 1—MEDICAID
SUBCHAPTER A—REDUCING FRAUD AND IMPROVING ENROLLMENT PROCESSES
Sec. 71101. Moratorium on implementation of rule relating to eligibility and enroll
ment in Medicare Savings Programs.
Sec. 71102. Moratorium on implementation of rule relating to eligibility and enroll
ment for Medicaid, CHIP, and the Basic Health Program.
Sec. 71103. Reducing duplicate enrollment under the Medicaid and CHIP pro
grams.
Sec. 71104. Ensuring deceased individuals do not remain enrolled.
Sec. 71105. Ensuring deceased providers do not remain enrolled.
Sec. 71106. Payment reduction related to certain erroneous excess payments under
Medicaid.
Sec. 71107. Eligibility redeterminations.
Sec. 71108. Revising home equity limit for determining eligibility for long-term care
services under the Medicaid program.
Sec. 71109. Alien Medicaid eligibility.
Sec. 71110. Expansion FMAP for emergency Medicaid.
SUBCHAPTER B—PREVENTING WASTEFUL SPENDING
Sec. 71111. Moratorium on implementation of rule relating to staffing standards for
long-term care facilities under the Medicare and Medicaid programs.
Sec. 71112. Reducing State Medicaid costs.
Sec. 71113. Federal payments to prohibited entities.
SUBCHAPTER C—STOPPING ABUSIVE FINANCING PRACTICES
Sec. 71114. Sunsetting increased FMAP incentive.
139 STAT. 77
139 STAT. 78
PUBLIC LAW 119–21—JULY 4, 2025
Sec. 71115. Provider taxes.
Sec. 71116. State directed payments.
Sec. 71117. Requirements regarding waiver of uniform tax requirement for Med
icaid provider tax.
Sec. 71118. Requiring budget neutrality for Medicaid demonstration projects under
section 1115.
SUBCHAPTER D—INCREASING PERSONAL ACCOUNTABILITY
Sec. 71119. Requirement for States to establish Medicaid community engagement
requirements for certain individuals.
Sec. 71120. Modifying cost sharing requirements for certain expansion individuals
under the Medicaid program.
SUBCHAPTER E—EXPANDING ACCESS TO CARE
Sec. 71121. Making certain adjustments to coverage of home or community-based
services under Medicaid.
CHAPTER 2—MEDICARE
SUBCHAPTER A—STRENGTHENING ELIGIBILITY REQUIREMENTS
Sec. 71201. Limiting Medicare coverage of certain individuals.
SUBCHAPTER B—IMPROVING SERVICES FOR SENIORS
Sec. 71202. Temporary payment increase under the medicare physician fee sched
ule to account for exceptional circumstances.
Sec. 71203. Expanding and clarifying the exclusion for orphan drugs under the
Drug Price Negotiation Program.
CHAPTER 3—HEALTH TAX
SUBCHAPTER A—IMPROVING ELIGIBILITY CRITERIA
Sec. 71301. Permitting premium tax credit only for certain individuals.
Sec. 71302. Disallowing premium tax credit during periods of medicaid ineligibility
due to alien status.
SUBCHAPTER B—PREVENTING WASTE, FRAUD, AND ABUSE
Sec. 71303. Requiring verification of eligibility for premium tax credit.
Sec. 71304. Disallowing premium tax credit in case of certain coverage enrolled in
during special enrollment period.
Sec. 71305. Eliminating limitation on recapture of advance payment of premium
tax credit.
SUBCHAPTER C—ENHANCING CHOICE FOR PATIENTS
Sec. 71306. Permanent extension of safe harbor for absence of deductible for tele
health services.
Sec. 71307. Allowance of bronze and catastrophic plans in connection with health
savings accounts.
Sec. 71308. Treatment of direct primary care service arrangements.
CHAPTER 4—PROTECTING RURAL HOSPITALS AND PROVIDERS
Sec. 71401. Rural Health Transformation Program. ...all of those things.
