Tracking the Medicaid Provisions in the 2025 Reconciliation Bill

Updated: July 8, 2025 Note: KFF now has a clean summary of the health care provisions in the 2025 federal budget reconciliation law as well as a separate implementation timeline highlighting key dates in the law. This side-by-side comparison tool compares the health care provisions in the House-passed and Senate-passed 2025 budget reconciliation law to each other and prior law. The Senate-passed bill ultimately passed the House on July 3 and was signed into law by President Trump on July 4. The comparison is divided into four categories: Medicaid, the Affordable Care Act, Medicare and Health Savings Accounts (HSAs). It also compares the provisions to a earlier draft of the bill passed by the House on May 22.