Derrick Van Orden and the One Big Beautiful Bill Act: Seven Roll Calls His Vote Decided, a Yes on Final Passage, and a $6.745 Billion Hole in Wisconsin's Medicaid Funding

The One Big Beautiful Bill Act needed House majorities at four separate stages, and at seven roll calls along the way Derrick Van Orden's yes was the difference, from the opening budget vote in February 2025 to two procedural votes in July 2025 that let the Senate's version reach the floor; by KFF's estimate, Wisconsin ends up $6.745 billion short in federal Medicaid funding over ten years.

Van Orden, who represents Wisconsin's 3rd District, was a yes on final passage on July 3, 2025, and nine months later he added his vote to a resolution commending the law. Because of it, KFF projects, 76,000 additional Wisconsin residents will lack coverage in 2034, and since October 1, 2026 the state has carried three-quarters of the cost of running FoodShare.

Derrick Van Orden's House Votes on the One Big Beautiful Bill Act, From Budget Plan to Final Law

• Van Orden's Deciding Vote Adopted a February 2025 Budget Resolution Demanding at Least $880 Billion of the Medicaid Committee and $230 Billion of the SNAP Committee. On February 25, 2025, Derrick Van Orden cast three yeas that advanced the budget plan, as the roll calls show. The first, on H.Res. 161's previous question, prevailed 216 to 210; the second adopted that rule, 217 to 211; the third, on H.Con.Res. 14 itself, was part of a 217-to-215 result that would have deadlocked, and so failed, had he switched. Its instructions told Energy and Commerce, home to Medicaid, to find at least $880 billion and Agriculture, home to SNAP, to find at least $230 billion, and gave Ways and Means license to add up to $4.5 trillion to deficits through tax changes.
• Two of Van Orden's April 2025 Votes Were Decisive in Locking In the Budget Plan Behind the Medicaid Cuts. April 9, 2025 opened with Van Orden siding with the 217-to-212 majority on H.Res. 313's previous question; the rule, which took up the Senate's amended budget plan, then squeaked through 216 to 215 with his yea. On April 10 the concurrence vote went 216 to 214, again with him. A no from him and the rule would have lost, the resolution tied. With the committee instructions intact in the final resolution, what eventually became law takes $911 billion out of federal Medicaid spending across a decade, according to the budget office estimate KFF relies on.
• Van Orden's Yes Made the Difference When H.R. 1 First Cleared the House, 215 to 214, in May 2025. May 22, 2025 brought six H.R. 1 roll calls, and Van Orden was on the winning side of each. Two procedural tallies on whether to take up the rule, H.Res. 436, ran 217 to 211 and 216 to 211. Next, ordering the previous question passed 213 to 211, a margin his vote decided, before the rule itself was adopted 217 to 212. He voted against the motion to recommit, defeated 212 to 216, and voted for passage, a 215-to-214 tally with a lone present vote, again decided by him. Once the Senate reworked it, the measure turned into a law whose Medicaid provisions by themselves push 7.5 million people off coverage by 2034, according to KFF's account of Congressional Budget Office figures, and that shut off Medicaid payments to Planned Parenthood for a "1-year period".
• Van Orden's Votes Decided Two July 2 Procedural Tests on the Final Version Before His Yes on the Law Itself, in July 2025. Both of the July 2, 2025 hurdles for the Senate's version hinged on Van Orden: consideration of H.Res. 566 squeezed by at 212 to 211, and ordering its previous question succeeded at 214 to 212, each with his yea; a switch by him would have defeated the first and tied the second, and a tie fails. Next came his vote for Representative Foxx's change to the rule (220 to 212); then, on July 3, his yeas on the amended rule (219 to 213) and on the concurrence motion that doubled as final passage, which carried 218 to 214. Signed the next day, it is Public Law 119-21. By 2034 the law leaves 10 million more Americans without insurance, by the Congressional Budget Office estimate KFF reports, and "The megabill cuts SNAP by $187 billion or about 20 percent by 2034," according to the Center on Budget and Policy Priorities.
• In April 2026, Van Orden Voted for a Resolution Branding the Law as Working-Family Tax Cuts. Van Orden's yes on April 16, 2026 helped adopt H.Res. 1156, 219 to 207, which calls the law the "Working Families Tax Cuts" and asserts it "will result in a 15 percent tax cut for Americans whose income is in the bottom 40 percent." The Institute on Taxation and Economic Policy calculated that "For the poorest fifth of Americans, the average tax change from OBBBA is a small tax increase" in 2026, while the top 1 percent average a tax cut of more than $70,000.

What the One Big Beautiful Bill Act Derrick Van Orden Voted For Costs Wisconsin, Topic by Topic

• Medicaid for 144,000 people in Wisconsin's 3rd District draws on the $6.745 billion the state loses. Over a decade Wisconsin forgoes $6.745 billion in federal Medicaid funding, 8% of what it expected, KFF figures; in the 3rd District, 144,000 people, 19% of residents, were enrolled in 2025. The votes and the hospital limits are detailed on Derrick Van Orden's health care page.
• About 63,000 BadgerCare members are at risk under the work rule that starts in January 2027. The work requirement will apply to roughly 200,000 BadgerCare Plus adults, Wisconsin's health department expects, and puts some 63,000 at risk of being dropped once enforcement begins on January 1, 2027; Van Orden's mental health and addiction page explains how the rule treats people in treatment.
• 76,000 more Wisconsinites lose coverage by 2034 while the top tenth gains $13,600 a year. Wisconsin's uninsured population grows by 76,000 in 2034 from the law alone, KFF projects, even as budget office figures show the country's top tenth of households about $13,600 a year better off. How the tax cuts are paid for is laid out on Van Orden's taxes and deficit page.
• FoodShare administration costs Wisconsin $32.4 million more, and 43,700 recipients now face work rules. Running FoodShare got $32.4 million costlier for Wisconsin, by the state's estimate, once its share of administration jumped from half to 75% on October 1, 2026, and about 43,700 recipients now fall under expanded work rules; the votes are on Derrick Van Orden's food assistance page.
• 47,300 children in Wisconsin's 3rd District are on the Medicaid program the law cuts. Of the 3rd District's 144,000 Medicaid enrollees in 2025, 47,300 were kids, per KFF; what the law means for low-income households is on Van Orden's homelessness and poverty page.
• Wisconsin's 1.3 million Medicare enrollees count on a hospital fund the law is projected to exhaust a quarter sooner. Medicare enrollment in Wisconsin stood at 1,315,539 in 2024; the law's cut to taxes on benefits pulls the hospital trust fund's expected run-out date into the second quarter of 2033, a quarter sooner than before, and a separate section ends Medicare eligibility for some immigrants with lawful status, both covered on Derrick Van Orden's Medicare page.
• Over half the people in Wisconsin nursing homes, 55% of 17,668, have Medicaid as the main payer, and the law caps financing that helps pay for their care. For 55% of the 17,668 people living in Wisconsin's certified nursing facilities, Medicaid is the main payer, and the law keeps the federal staffing rule unenforced until 2034; Van Orden's elder care page has the rest.
• 17,500 disabled Medicaid enrollees in Wisconsin's 3rd District, and 9,160 Wisconsinites waiting for home care. The 3rd District's Medicaid rolls include 17,500 people with disabilities, and statewide 9,160 people are waiting for Medicaid home and community-based services, the kind of optional care the budget target leaves exposed; see Derrick Van Orden's disability rights page.
• 30,000 children in Wisconsin's 3rd District get less than the full child tax credit. Since the credit phases in with earnings, Columbia's poverty center counts 30,000 3rd District children, 21%, receiving less than the full amount; Van Orden's child care and families page explains the phase-in.
• A Social Security shortfall would cut the average Wisconsin check by $513 a month. Social Security's costs rise $168.6 billion through 2034 because of the law, and the 24% cut that would follow a retirement fund shortfall would take $513 a month on average from each of the 1.2 million Wisconsin beneficiaries it would reach, the Committee for a Responsible Federal Budget estimates. Derrick Van Orden's Social Security page has the votes.
• Wisconsin borrowers pushed off SAVE owe $2,009 more a year. Moving from SAVE to the law's new repayment plan raises a Wisconsin borrower's yearly payments by $2,009 on average, in a Center for American Progress estimate that Van Orden's student debt page explains.
• About 18,000 Wisconsin veterans live in SNAP households, and those under the time limit can no longer claim a veterans exemption. Some 18,000 Wisconsin veterans lived in SNAP households over 2021 to 2023, and under section 10102 those of them under SNAP's three-month cap no longer get a veterans carve-out from it; the Medicaid side is on Derrick Van Orden's veterans page.
• Repealed energy credits are projected to add about $300 a year to Wisconsin household energy costs by 2035. With the law's rollback of clean-electricity and home-efficiency credits, an average Wisconsin household could spend roughly $300 more on energy each year by 2035, per an Energy Innovation projection that CNBC published.

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Last updated: 2026-10-27

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