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Update on Budget Reconciliation

May 23, 2025, by Meghan Winesett

Below is a summary of the key health care policy provisions in the One Big Beautiful Bill Act, as passed by the House of Representatives on May 22 by a vote of 215-214-1. The summary put together by AAA advocacy firm Alston & Bird incorporates revisions from the House Rules Committee Print and Manager’s Amendment, which revised text passed out of the House Committee on Energy and Commerce and House Committee on Ways and Means.

AB Reconciliation Summary – AAA

Alston & Bird has also prepared a redlined version of the summary showing changes made by the House Rules Committee Print and Manager’s Amendment: Redline – A&B Reconciliation Summary – The One, Big, Beautiful Bill – House Passed

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