FOR IMMEDIATE RELEASE: June 30, 2025
Media Contact:
Emily Holwick
AAFP Public Relations
Eholwick@aafp.org
The Senate version of H.R. 1 cuts more than $1 trillion in health care, with an overwhelming portion coming from Medicaid, and will yield devastating consequences for patients in every community. Our members are on the frontlines of care delivery in communities in every state, both urban and rural. The size and scope of these cuts will have demonstrable negative consequences on the health of millions by separating them from their family physician.
The Senate version of the reconciliation bill did take a step toward improving access to primary care through a one-year increase to Medicare physician payment for 2026 and by allowing individuals with HSAs to use those funds to pay for direct primary care arrangements – provisions that we support and believe should be implemented into law. However, the sweeping and draconian cuts across the health care system will leave as many as 16 million individuals without health care coverage.
The Senate failed the American people by passing this version of H.R. 1. The simple truth is you cannot remove over $1 trillion and not have a negative impact on the health and wellbeing of millions of people. It's time to prioritize health and primary care and this bill does neither. We call on those Representatives who have expressed opposition to maintain their commitment. The health care provisions of this bill must be modified and improved. Until such modifications are made, the AAFP calls on the House of Representatives to vote no on this version of H.R. 1.
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About the American Academy of Family Physicians
The AAFP is the largest national association of family physicians, representing 128,300 physicians and medical students. Family medicine’s cornerstone is an ongoing, personal patient-physician relationship focused on impactful care for people of all ages, races and genders across all medical conditions. The AAFP supports every stage of a family physician's career and provides evidence-based resources, advocacy and community to empower family medicine. To learn more, visit aafp.org. For information about health care, medical conditions and wellness, please visit the AAFP’s patient education website, familydoctor.org.