House of Representatives Bill H.R. 1, An Act to provide for reconciliation pursuant to title II of H. Con. Res. 14
Sec. 71115 Provider Taxes
Sec. 71116 State Directed Payments
Sec. 71117 Requirements Regarding Waiver of Uniform Tax Requirement
Sec. 71119 Requirement for States to Establish Medicaid Community-Engagement Requirements for Certain Individuals
Sec. 71401 Rural Health Transformation Program
Signed into law July 4th, 2025
Bill Overview
On July 4, 2025, President Trump signed the House of Representatives budget reconciliation bill H.R. 1 titled “An Act to provide for reconciliation pursuant to title II of H. Con. Res.14,” formerly known as the One Big Beautiful Bill. H.R. 1 includes many chapters with numerous sections covering a range of policy areas, such as health care, tax reform, education, agriculture, energy, defense, and infrastructure.
Myers and Stauffer has conducted a detailed review of the law to assess its potential impact on our clients’ programs. We’ve developed comprehensive analyses of key provisions to help you understand how these changes may affect your Medicaid programs. If you haven’t had a chance to review the legislation yet, links to the enrolled bill and relevant section rules are available on this page.
Need More Information?
Myers and Stauffer will continue to monitor federal guidance and state implementation of the Medicaid community-engagement requirements. We are available to help states with the above assessments, as well as any requests for early or delayed implementation, requests for federal funding, and/or implementation planning. For more information, please reach out to one of our subject matter experts:
Bobby Courtney, JD, MPH
Principal
PH 317.815.5475
bcourtney@mslc.com
Jerry Dubberly, PharmD, MBA
Principal
PH 404.524.0775
jdubberly@mslc.com
Tim Guerrant, CPA
Member
PH 317.815.2935
tguerrant@mslc.com
Joe Gamis, CFE
Principal
PH 816.945.5315
jgamis@mslc.com
Kevin Yates
Principal
PH 816.945.5362
kyates@mslc.com
Dan Brendel
Principal
PH 317.815.5492
dbrendel@mslc.com
Tara Clark, CPA
Member
PH 888.749.5799
tclark@mslc.com
Bob Hicks, CPA
Member
PH 800.374.6858
bhicks@mslc.com
