Health Provisions in the 2025 Federal Budget Reconciliation Bill

Updated: June 17, 2025

On June 16, the Senate Finance committee released proposed reconciliation language with some substantive changes to the Medicaid and Affordable Care Act provisions in the reconciliation bill that the House passed on May 22. This tracker summarizes and compares the health care provisions included in the Senate Finance and Senate HELP Committee with the House-passed version and current law.

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, based on an increase in the deficit of $2.3 trillion over 10 years.