Senate HELP Committee Ranking Member Bernie Sanders (I-VT), in response to current budget reconciliation (H.R. 1, the One Big Beautiful Bill Act) negotiations that include the largest cuts in history to Medicaid and the Affordable Care Act, on June 12 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 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 seniors, 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 following questions and emailing your responses directly to the Committee at providerinput@help.senate.gov . Deadline, again: June 20, 2025.

Keep up with the latest on Budget Reconciliation 2025 via our serial post.