Title
Authorizing the Committee on Public Health and Human Services to hold hearings to investigate the impacts of reductions to Medicaid coverage under H.R. 1 on Philadelphia residents, our healthcare providers, and service organizations, and to examine the City of Philadelphia’s strategy and preparedness to address those impacts.
Body
WHEREAS, Healthcare in the United States remains the most expensive in the world. Because of the combination of extreme cost and the lack of government guarantee, roughly 28 million Americans are uninsured. The federal Medicaid program provides essential health coverage to hundreds of thousands of the least resourced, most vulnerable Pennsylvanians, enabling low-income individuals, children, older adults, and individuals with disabilities to have access to health services, prescriptions, and long-term care; and
WHEREAS, In July 2025, President Trump signed H.R. 1, the “One Big Beautiful Bill Act,” into law, enacting significant changes to Medicaid, including new barriers to eligibility, additional steps to the enrollment processes, more renewal requirements, and significant reductions in funding; and
WHEREAS, In the Commonwealth of Pennsylvania, nearly 3 million residents rely on the Medicaid program. The City of Philadelphia in particular faces a severe health equity challenge with over 90,000 residents at risk of losing access to Medicaid because of H.R. 1 changes.
WHEREAS, Medicaid changes will take effect on a staggered schedule beginning October 1, 2026. Subsequent changes will take effect January 1, 2027, and February 1, 2027; and,
WHEREAS, Residents primarily impacted by the new requirements are immigrant residents and adults included inthe Medicaid expansion group. The Medicaid expansion group consists of residents who became eligible for Medicaid under the Affordable Care Act of 2010; and
WHEREAS, Refugee residents along with immigrant survivors of crime, domestic violence and human trafficking, that hold U-Vi...
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