May 22, 2025 · House · RC 145

One Big Beautiful Bill Act (House passage)

House Bill, H.R. 1 (House passage)

What it did

H.R. 1, the One Big Beautiful Bill Act, is the 2025 reconciliation law sponsored by Rep. Jodey Arrington (R-TX). It cuts roughly $1 trillion from Medicaid and the Affordable Care Act marketplaces over ten years through work-reporting requirements, eligibility checks every six months, and limits on the provider taxes states use to fund their share of Medicaid.

It cuts SNAP by about $186 billion and shifts part of the cost of benefits onto states. The same bill extends the 2017 tax cuts, whose benefits go largely to the highest earners. The Congressional Budget Office (CBO) projected about 10 million more people uninsured by 2034 from the health provisions alone. A yes vote passed those cuts.

A no vote rejected them.

The House passed the bill 215-214 at 6:54 in the morning on May 22, 2025 after an all-night session.

At the time of this vote, about 38 million American children were insured through Medicaid and CHIP, and the CBO numbers were already public.

Result: Passed 215-214-1

At the time of this vote: Congressional Budget Office: 10,000,000+ more people uninsured by 2034 under the law's health provisions; ~38,000,000 US children insured through Medicaid and CHIP at the time of the vote

The humane vote: No (NAY)

Official roll-call record

Members in this record who voted inhumanely (207)

Members in this record who voted humanely (207)