On Friday, Nov. 19, by a vote of 220 to 213, the US House passed the $1.67 trillion budget reconciliation bill known as the Build Back Better Act (H.R. 5376). The bill includes Medicaid expansion gap coverage, extended subsidies for Affordable Care Act (ACA) marketplace health plans and expanding Medicare coverage to include hearing aids alongside other non-health provisions. Dental coverage expansion in Medicare is not included in the package.

The bill will now go to the Senate, where revisions will likely be made to its cost and contents. Moderate Senate Democrats including Sen. Joe Manchin (D-WV) have expressed concern over some of the bill’s provisions. Furthermore, the Senate parliamentarian must approve sections of the bill through a process known as the “Byrd Bath,” which determines if a provision in a bill is related to the federal budget.

Please contact Senior Government Relations Analyst Owen Urech with any questions.


Full Bill Text

Section by Section Summary

Congressional Budget Office Score

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