Becker's Healthcare July 4, 2025
Madeline Ashley, Jakob Emerson

President Donald Trump signed the One Big Beautiful Bill Act on July 4 after the Republican-led House passed it on July 3 in a 218-214 vote.

Republican Reps. Thomas Massie of Kentucky and Brian Fitzpatrick of Pennsylvania voted against the legislation, NBC News reported.

“[It] was the Senate’s amendments to Medicaid, in addition to several other Senate provisions, that altered the analysis for our PA-1 community,” Mr. Fitzpatrick said in a July 3 news release. “The original House language was written in a way that protected our community; the Senate amendments fell short of our standard.”

The news comes after the revised 887-page version of the legislation passed the Republican-led Senate on July 1 in a 51-50 vote, with...

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