American Nurses Association Responds to Impact of H.R.1 on Medicaid in the Senate

American Nurses Association's Urgent Response to H.R.1 Passage



On July 1, 2025, the American Nurses Association (ANA) expressed significant concerns regarding the Senate's passage of H.R.1, a bill threatening to drastically reduce federal Medicaid support. This legislation has profound implications not only for funding but also for the comprehensive healthcare system that serves millions, particularly those in rural and underserved communities.

Jennifer Mensik Kennedy, ANA's president, articulated the vulnerabilities presented by these proposed cuts. She stated, "Today, the Senate passed H.R.1, which, if enacted, will have devastating consequences for patients, nurses, and healthcare overall, particularly for those in rural and medically underserved areas. Patients and nurses deserve better."

The Backbone of Care


Medicaid is much more than a mere line item in the federal budget; it's the bedrock of healthcare for a vast number of Americans, including seniors in nursing homes, children with intricate medical needs, and working families in rural settings. For many communities, Medicaid isn't just a program—it's a lifeline. Specific healthcare facilities, especially in less populated areas, rely heavily on Medicaid revenue to sustain their operations. Reductions in Medicaid funding can lead to hospital and clinic closures, overwhelming nurses with increased workloads, amplifying stress, potential burnout, and ultimately compromising the quality of care received by patients.

Nurses across the nation are already feeling the pinch of heightened patient-to-nurse ratios and dwindling resources. The moral dilemmas faced daily—knowing they cannot provide the level of care their patients require—are palpable. The ANA highlights that Medicaid accounts for about 19% of hospitals' revenue nationwide. Therefore, any reduction in funding could have a cascading effect throughout the healthcare network, jeopardizing both access and the standard of care.

A Call for Reflection


Kennedy reminded Congress members of the political ramifications tied to healthcare decisions, particularly concerning Medicaid. Referencing the 2018 elections, she noted that over 20 Republican lawmakers who voted to repeal the Affordable Care Act found themselves ousted from their positions. This was not solely due to the organizations and lobbying but rather a reflection of the electorate's rising concerns about healthcare access—especially concerning Medicaid. "Voters care deeply about healthcare, and they are attentive. Constituents depend on elected officials to act responsibly, protecting the integrity of Medicaid," Kennedy urged.

ANA's Role and Advocacy


The ANA is the oldest national organization representing over 5 million registered nurses across the U.S. Its mission underscores the importance of advocacy in promoting nursing excellence and elevating healthcare standards. The organization employs powerful strategies to influence policy, provide essential educational resources, and establish a robust Code of Ethics. These efforts empower nurses in every specialty to advocate for a healthier future for all.

To ensure the best care for their patients, the ANA emphasizes the need for a sustained commitment to health advocacy. By reinforcing healthy work environments and facilitating collaborative partnerships, the ACA aims not only to support nursing professionals but also to enhance the overall healthcare experience.

Conclusion


As the debate surrounding H.R.1 continues, the ANA’s caution serves as a vital reminder of the potential fallout from drastic Medicaid cuts. The association's push for better working conditions and adequate funding resonates amid concerns about care quality and economic pressure on both healthcare providers and patients. Elected officials must recognize the consequences their policies can have on the very fabric of healthcare that communities across the nation depend on.

Topics Health)

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