Ashley Hinson and the One Big Beautiful Bill Act: Her Yes Votes and Iowa's Medicaid and SNAP Losses
Ashley Hinson, the Iowa congresswoman running for U.S. Senate, cast one of the 215 votes that passed the One Big Beautiful Bill Act out of the House by a single vote on May 22, 2025 (Roll Call 145), and she voted yes again on final passage on July 3, 2025 (Roll Call 190). KFF reports the CBO expects the law to cut federal health spending by over $1 trillion and raise the uninsured by 10 million.
Hinson also voted for both versions of the budget resolution that set up the bill and for the rules that brought it to the floor, and she promoted it in public, writing that it "will fast track our country back to prosperity" (Des Moines Register, paywalled; free: NBC News on her town hall).
For Iowa, KFF estimates about 68,000 Medicaid enrollees will lose coverage by 2034, and about 25,000 Iowans have already lost SNAP benefits, according to The Iowa Independent and KCRG.
Ashley Hinson's Votes and Statements on the One Big Beautiful Bill Act
- Hinson Voted for the Budget Resolution That Started the Bill in February 2025. On February 25, 2025, Ashley Hinson voted yes on H. Con. Res. 14, the budget resolution, which passed 217 to 215 (Roll Call 50). The bill's own rule describes H.R. 1 as reconciliation "pursuant to title II of H. Con. Res. 14" (Roll Call 142).
- Hinson Voted for the Senate Version of the Budget Resolution in April 2025. On April 10, 2025, Hinson voted yes as the House adopted the Senate-amended budget resolution, 216 to 214 (Roll Call 100).
- Hinson Voted for the Rule That Brought the Bill to the Floor in May 2025. On May 22, 2025, Hinson voted yes on the rule for H.R. 1, H. Res. 436, adopted 217 to 212 (Roll Call 142).
- Hinson Cast One of the 215 Votes That Passed the Bill by One Vote in May 2025. On May 22, 2025, Hinson voted yes on House passage, 215 to 214 (Roll Call 145). She wrote that the bill "will fast track our country back to prosperity and will be a huge part of President Trump's legacy" (Des Moines Register, paywalled).
- Hinson Voted for the Rule on the Senate Version in July 2025. On July 3, 2025, Hinson voted yes on H. Res. 566, the rule for the Senate amendment, adopted 219 to 213 (Roll Call 189).
- Hinson Voted for Final Passage on July 3, 2025. Hinson voted yes as the House agreed to the Senate version, 218 to 214, sending it to the president (Roll Call 190). KFF lists the law's Medicaid work requirement at 5.3 million more uninsured in 2034.
- Hinson Said Medicaid Cuts Only Hit People Who Should Not Be Enrolled. On May 20, 2025, Hinson said Medicaid was for people with disabilities, seniors and single mothers, "not 29-year-old men playing video games on their mother's couch in the basement" (North Iowa Now). The same report cited the CBO estimate that the Medicaid changes would cut coverage for at least 7.6 million people.
- Hinson Told a Decorah Town Hall She Was Proud of Her Vote. On May 28, 2025, Hinson told constituents in Decorah she was "proud" to vote for the bill, NBC News reported.
What the One Big Beautiful Bill Act Ashley Hinson Passed Means for Iowa
- 68,000 Iowans are expected to lose Medicaid by 2034. KFF estimates about 68,000 of Iowa's 603,000 Medicaid enrollees will lose coverage, leaving them without regular care and coverage for hospital bills (The Iowa Independent). See the health care page.
- Iowa hospitals expect to lose about $4 billion over 10 years. The Iowa Hospital Association said hospitals would have to reduce staff or services, and those services "don't just go away for the Medicaid population" (The Iowa Independent).
- 25,000 Iowans have lost SNAP food benefits. Food pantries in Iowa report many first-time visitors, and Iowa faces a $14 million bill for SNAP administration starting October 1, 2026 (KCRG). See the food assistance page.
- Medicare will pay more for some cancer drugs. The law delays negotiation for drugs including Keytruda and Opdivo, which KFF says could mean close to $10 billion in additional Medicare spending and higher costs for patients. See the Medicare page.
Frequently Asked Questions Ashley Hinson on One Big Beautiful Bill
What is Ashley Hinson's record on the One Big Beautiful Bill Act under Trump?
Ashley Hinson voted for the One Big Beautiful Bill Act at every House stage in 2025: both budget resolutions, both rules, House passage by 215 to 214, and final passage on July 3, 2025 (Roll Call 190). KFF estimates 68,000 Iowans will lose Medicaid under the law, The Iowa Independent reported, and Iowa hospitals expect a $4 billion loss over 10 years.
Was Ashley Hinson's vote needed to pass the Big Beautiful Bill?
Ashley Hinson voted yes when the bill passed the House 215 to 214 on May 22, 2025 (Roll Call 145), so if any one member who voted yes had voted no instead, it would have failed 214 to 215.
What does Ashley Hinson say about rural hospitals and the bill?
Ashley Hinson said in July 2025 that the law makes more resources available for "safety net providers like rural hospitals" (North Iowa Now). Her campaign ads say the law delivered over $209 million for rural health care in Iowa, while KFF estimates $3.84 billion less for rural Iowa over 10 years, The Iowa Independent reported.
Last updated: 2026-10-28