PLEASE NOTE: This site is an archival resource, no longer updated as of June 1, 2026. Current questions: The Fiscal Lab.
The Federal Budget: Spending, Taxes, and Debt

Comparing the House and Senate’s Medicaid Changes

The Federal Budget: Spending, Taxes, and Debt Infographics, Tables, & Charts BlogJuly 1, 2025 By David Ditch
The Senate-passed version of the One Big Beautiful Bill has some important Medicaid policy improvements on the House version. However, the Senate added a questionable $50 billion rural hospital fund. Also, a provision to reduce subsidies for states providing benefits to illegal immigrants that passed the House and was retained by the Senate Finance Committee was removed during the Byrd Rule process. This table was revised on July 1, 2025 to reflect the legislation that the Senate passed. MedicaidCompTableV2

Author

David A. Ditch

David A. Ditch

David A. Ditch is Senior Analyst in Fiscal Policy at the Economic Policy Innovation Center (EPIC). Ditch has over a decade of experience analyzing federal spending and fiscal policy, including appropriations, infrastructure, agriculture, and needed reforms for dozens of agencies and programs. He has appeared on radio stations across the country and has written for FoxNews.com , the Los Angeles Times , the Chicago Tribune , and many other publications. Prior to joining EPIC, Ditch was a Senior Policy Analyst at The Heritage Foundation, where he was a founding staffer for the Grover M. Hermann Center for the Federal Budget. He managed the Federal Budget in Pictures chart portfolio, was responsible for creating dozens of policy options for the Heritage Budget Blueprint, and produced several groundbreaking reports on federal spending and governance. Ditch was also previously an analyst for the Senate Budget Committee, where he oversaw budgetary enforcement for appropriations legislation. Ditch graduated from the University of Rochester with degrees in Economics and Political Science, and received a Master's in Political Management from George Washington University.

More from David A. Ditch →

← All work