Congressional Action on the One Big Beautiful Bill
Legislative efforts to change aspects of P.L. 119-21
Congress enacted the One Big Beautiful Bill (P.L. 119-21) into law on July 4, 2025. The sweeping legislation takes effect at myriad times, with some provisions becoming effective upon enactment while others have years-long waiting periods. Nonetheless, members of Congress on both sides of the aisle have introduced legislation that would change some of the provisions of the One Big Beautiful Bill. Protecting Rural Hospitals. Sen. Josh Hawley (R-Mo.), who casted his vote in favor of the Big Beautiful Bill, has introduced legislation that would repeal changes to the Medicaid state provider tax and state directed payments. Hawley’s bill, S….
