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“Big Beautiful Bill” Receives Final Passage in Congress

Congress has passed the “One Big Beautiful Bill,” a wide-ranging package that includes changes to federal taxes, health care programs, government spending, and more.

The legislation passed the House on July 3 by a narrow vote of 218-214 after passing the Senate earlier in the week, with a tie breaker from Vice President JD Vance.

Three members of Kentucky’s federal delegation voted against the legislation: Senator Rand Paul (R), Representative Thomas Massie (R), and Representative Morgan McGarvey (D).

Tax Changes

The bill builds on the 2017 tax reform law by making several provisions permanent and expanding them. Key components include:

The Kentucky Chamber supported making permanent key elements of the 2017 tax reform bill, including lower tax rates for businesses, the small business income tax deduction, and the improved treatment of business investments. Analysis by the nonpartisan Tax Foundation found that the tax provisions of the final bill would increase GDP by 1.2 percent and create the equivalent 938,000 full-time jobs.

The Chamber also voiced support for improvements made by the bill to the Child and Dependent Care Tax Credit and the Employer-provided Child Care Tax Credit (also known as 45F).

Medicaid

The package includes drastic changes to Medicaid, impacting Kentucky healthcare systems. As part of its advocacy efforts, the Kentucky Chamber sent a letter to Kentucky’s congressional delegation urging them to support health care providers, communities, and families by reducing or eliminating the Medicaid provider tax and the directed payment framework included in the bill. The letter reads:

“Hospitals throughout the country remain under extraordinary financial strain. Directed payments help bridge the gap by using legally authorized tax structures to support safety-net hospitals that provide life-saving care, train the next generation of physicians, and are often their communities’ largest employer. Hospitals will be forced to make devastating decisions without these supplemental payments: eliminating key services, reducing staff, or even closing their doors altogether. These outcomes would disproportionately impact low-income families, rural residents, and communities already facing barriers to care.”

Click here to read the full letter.

The legislation is expected to be signed by President Trump on July 4.

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