IMMEDIATE ACTION REQUESTED: Contact Your Representatives with These Key Messages
"With even larger potential cuts to Medicaid included in this Senate-passed version of the bill, so much is at stake for your constituents and community."
Ask your Representatives to "vote no on the final budget reconciliation bill and prevent harmful cuts to Medicaid."
NOTE: All Representatives should be engaged/contacted, but please refer to our House target list where most immediate outreach is needed.
What's happening:
After hours of negotiations, procedural votes, and other hurdles, the Senate passed its version of the budget reconciliation bill on Monday afternoon on a 50-50 vote, with Vice President Vance providing the tie-breaking vote and sending the bill back to the House of Representatives for a final vote.
Three Republicans — Sens. Rand Paul (KY), Thom Tillis (NC) and Susan Collins (ME) — voted against the bill.
While the bill underwent major changes from the House version and the original Senate text, many components harmful to Medicaid remain, including work reporting requirements and other provisions that will negatively impact eligibility and enrollment, as well as cuts to provider taxes.
According to the nonpartisan Congressional Budget Office (CBO,) the bill would cut nearly $1 trillion from Medicaid and leave approximately 17 million fewer people insured at the end of the 10-year estimate—meaning, far steeper cuts and greater deficits than the original House version.
State of Play and Timing:
Even with so much at stake, Congressional leadership continues to push ahead to meet their July 4 deadline.
Action on the bill now moves to the House, where Republican leaders say their chamber will consider the bill “immediately” with the goal of having it signed into law by Independence Day.
There are currently two Republican members who have communicated firm opposition to the bill(Rep. Massie (R-KY) and Rep. Valadao (R-CA), from the fiscal conservative and Medicaid moderate camps, respectively)with multiple other Republican representatives expressing their concerns with supporting the Senate's version of the bill. Given the tight margins, this marks an opportunity to halt the bill on the House floor.
Register now to join us for the next webinar in our “Capitol Conversations” series on July 17 at 1 p.m. ET. We will be sharing the latest updates on the budget reconciliation process and the impact on Medicaid and nonprofits, as well as expert insights on pursuing federal funding opportunities.
For more information, please contact Sarah Dobson, Senior Director of Public Policy and Advocacy.
Lutheran Services in America is one of the nation’s largest national networks of health and human service providers with a mission to cultivate caring communities that advance health and opportunity for all. With 300 nonprofit organizations across 1,400 U.S. communities and more than $26 billion in combined annual services, the Lutheran Services in America network advances equitable outcomes for children, youth and families, improves independence and choice for older adults, champions meaningful services and support for people with intellectual and developmental disabilities, and strengthens stability and purpose for veterans and others. Formed in 1997, Lutheran Services in America brings together a network of leaders, partners and funders to catalyze innovation, strengthen organizational capacity and advance public policy.
Copyright (C) 2025 Lutheran Services in America. All rights reserved.
You are receiving this email because you opted in to receive communications from Lutheran Services in America.
Lutheran Services in America 100 Maryland Ave. NE, Ste. 500 Washington, DC 20002
