Health Provisions in the 2025 Federal Budget Reconciliation Bill

Updated: May 22, 2025

On May 22, the House passed a budget reconciliation bill that includes significant changes to the Medicaid program and the Affordable Care Act, as well as additional provisions related to Medicare and Health Savings Accounts. This resource summarizes the relevant sections of the House-passed bill and compares the changes to current law. It reflects the final changes to the House Rules Committee Print released on May 19 version.   

In addition to the changes included in the provisions of the legislation, if the reconciliation bill is enacted into law in its current form, and Congress takes no further action, the increase in the deficit would trigger mandatory cuts, also known as sequestration, under the Statutory Pay-As-You-Go Act of 2010. These cuts would total approximately $500 billion to Medicare over 2026–2034, according to CBO.