Two Democrats in Congress are starting to compile and publish data that may show how the One Big Beautiful Bill Act is affecting the U.S. health care system.
The OBBBA package provisions were signed into law in July 2025.
The health care sections of OBBBA included $1 trillion in cuts in the $10 trillion stream of federal funding that was originally expected to flow to Medicaid and Affordable Care Act programs through 2035.
Sen. Ron Wyden, D-Ore., the highest-ranking Democrat on the Senate Finance Committee, and Rep. Frank Pallone, D-N.J., the highest-ranking Democrat on the House Energy & Commerce Committee, say they have found media reports of 19 health care facilities with managers who said the facilities shut down or reduced services in February at least partly because of OBBBA-related health funding cuts.
The OBBBA-related health care facility shutdowns and changes led to the loss of 477 jobs, according to a summary of the lawmakers' findings.
The new OBBBA impact tracking report is a sequel to a similar report the lawmakers posted earlier this month.
In that report, the lawmakers indicated that 17 health care facilities closed or reduced services in January because of OBBA and that the service hits had caused 1,053 layoffs.
Overall, OBBBA has caused 115 major health facility changes since July 2025, including shutdowns or service reductions at 49 maternity care facilities, according to the lawmakers' data.
The data: The lawmakers have not included any data showing how the health care facility reduction cuts announced between July 2025 and February 2026 compare with the number of cuts announced between July 2024 and February 2025 or another earlier time period.
The lawmakers have not included health care facility count or employment data from federal or state agencies or from private health care system tracking data providers, such as Kaufman Hall.
What it means: If Wyden and Pallone keep publishing the OBBBA impact data using the same methods, their reports could help show how the OBBBA funding cuts are affecting the supply of health care services for users of private health coverage, including participants in employer-sponsored plans, as well as for users of Medicaid plan coverage and Affordable Care Act individual and family coverage premium subsidies.
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