Eli Crane and the One Big Beautiful Bill Act: The House Votes He Decided on the Way to the Final Law, and a $34.47 Billion Medicaid Bill for Arizona

The largest single cost to Arizona is Medicaid: $34.47 billion in federal funding gone over a decade, KFF estimates, under a law that cleared the House on May 22, 2025 by one vote, and one of the 215 yes votes against 214 belonged to Eli Crane, the 2nd District's congressman. He cast another yes on July 3 to make it law.

Before that, the 2025 budget resolution needed Crane's yes in February and again in April; it is the document that set savings targets of $880 billion and $230 billion for the committees that write Medicaid and SNAP law. In July his yes was also required on two procedural votes to take up the final bill, and in April 2026 he voted for a resolution praising it. KFF expects 330,000 more uninsured Arizonans in 2034.

Eli Crane's House Votes on the One Big Beautiful Bill Act, in the Order the Bill Moved

• Savings Orders of $880 Billion for Medicaid's Committee and $230 Billion for SNAP's Passed on Crane's Deciding Vote, in February 2025. Crane took three steps for the House budget plan on February 25, 2025: he voted to cut off debate by ordering the previous question on H.Res. 161, then to adopt that rule, then for H.Con.Res. 14, which passed 217 to 215; one switched vote, his, would have produced a tie, which fails. As adopted by the House, H.Con.Res. 14 gave Energy and Commerce, Medicaid's committee, an order to "reduce the deficit by not less than $880,000,000,000", assigned Agriculture, SNAP's committee, $230 billion or more in savings, and let Ways and Means push deficits up by as much as $4.5 trillion.
• Crane Cast Deciding Votes in April 2025 for the Rule and the Final Budget Plan, Which Kept the Medicaid Committee's Order. Crane voted yes twice on April 9, 2025: on H.Res. 313's previous question and on the rule, which passed 216 to 215 and brought the Senate-amended budget resolution to the floor. On April 10 he voted to accept the Senate text, which carried 216 to 214. His lone switch would have defeated the rule and tied the concurrence, and a tie fails. Nothing in the Senate text changed what the House committees were told to do: Energy and Commerce, which writes Medicaid law, still had to find at least $880 billion in savings.
• Crane Supplied One of the 215 Votes That Beat 214 and Sent the House Bill to the Senate, in May 2025. Six of Crane's roll calls on H.R. 1 came on May 22, 2025. Four were yeas on the rule, H.Res. 436: two questions of consideration that carried 217 to 211 and 216 to 211, a previous-question motion that carried 213 to 211, and adoption of the rule. Then he voted against the motion to recommit, and it lost 212 to 216. And he voted for passage, 215 to 214, a member voting present, so his vote was decisive on the previous question and on the bill. After the Senate rewrite, the Medicaid sections alone account for 7.5 million more uninsured people in 2034, on Congressional Budget Office estimates that KFF reports, and Planned Parenthood lost Medicaid payments for a "1-year period" under the final law.
• Crane's Votes Were Needed to Take Up the Final Version, and He Then Voted for the Law, in July 2025. The final version reached the floor only after two July 2, 2025 votes Crane helped win: consideration of H.Res. 566, 212 to 211, where his switch would have defeated it, and the previous question, 214 to 212, where it would have forced a failing tie. His yes also went to the Foxx amendment that changed the rule; on July 3 he voted yes on the rule as amended and on concurring in the Senate amendment, the final-passage vote, 218 to 214. It became Public Law 119-21 the next day. Ten million: that is how many more Americans the Congressional Budget Office expects to be uninsured in 2034 because of the law, as KFF reports, with its federal Medicaid cuts scored at $911 billion over the decade; and CBPP's verdict on food aid is that "The megabill cuts SNAP by $187 billion or about 20 percent by 2034."
• Crane Voted for a 2026 Resolution Branding the Law a Tax Cut for Working Families. Nine months after enactment, Crane joined the 219 members who adopted H.Res. 1156 over 207 noes on April 16, 2026. The resolution gives the law the name "Working Families Tax Cuts" and claims it "will result in a 15 percent tax cut for Americans whose income is in the bottom 40 percent." ITEP's 2026 analysis says "For the poorest fifth of Americans, the average tax change from OBBBA is a small tax increase", against an average cut topping $70,000 for the richest 1 percent.

The Bill for Arizona: What the Law Eli Crane Voted For Costs the State, Topic by Topic

• Arizona gives up $34.47 billion in federal Medicaid funding over a decade. Arizona's federal Medicaid money shrinks by $34.47 billion over ten years, or 18 percent of the projected total, in KFF's allocation, the funds that pay for hospital care, nursing homes and checkups; Crane's health care record has the votes behind it.
• Arizona hospitals carry $2.95 billion a year above the new caps, and rural Arizona loses $3.125 billion over ten years. About $2.95 billion a year in federal hospital payments to Arizona exceeds the law's caps on state-directed payments, KFF calculates, and rural Arizona's Medicaid loss comes to $3.125 billion over ten years; the breakdown is in Crane's record on health care.
• 330,000 more Arizonans will be uninsured in 2034. The coverage cost is 330,000 newly uninsured Arizonans in 2034, KFF estimates, from the law alone, a 4-point jump in the uninsured rate, while nationally the top tenth comes out about $13,600 a year ahead; Crane's taxes and deficit page traces the trade.
• Medicaid, which the law cuts, covers 242,900 people in Crane's district. In 2025, 242,900 people in Arizona's 2nd District, 28% of residents, were on Medicaid, KFF counts, 86,000 of them children and 63,100 of them expansion adults who face the work rule from no later than January 1, 2027; Crane's poverty and homelessness page follows the cuts to the lowest-income households.
• Arizona now pays 75% of SNAP's running costs, and CBPP's June 2025 estimate put 37,000 older Arizonans at risk of losing it. Since October 1, 2026, Arizona's budget has covered three-quarters of the cost of administering SNAP, and CBPP estimated in June 2025 that the Senate Agriculture Committee's plan, with the same expanded work rules the law adopted, put 37,000 Arizonans in the 55-to-64 group and 14,000 parents of teenagers at risk each month; Crane's food assistance page has the rest.
• Arizona's 1.5 million Medicare enrollees depend on a hospital fund whose depletion the law moved a quarter earlier, within 2033. With 1,499,414 Arizonans on Medicare in 2024, the law's tax changes moved the Part A trust fund's depletion one quarter earlier, within 2033, and the law also ends Medicare for some immigrants here legally; both are on Crane's Medicare page.
• Medicaid pays first for 54% of the 11,931 Arizonans in nursing homes. 54% of the state's 11,931 nursing-facility residents have Medicaid as primary payer, and the law keeps the federal staffing floor unenforced through 2034; Crane's elder care page explains what that means.
• 19,900 disabled residents of Crane's district rely on Medicaid. 19,900 people with disabilities were Medicaid enrollees in Arizona's 2nd District in 2025, and those in the expansion group will, from no later than January 1, 2027, need the state to find them exempt or log work hours; see Crane's disability rights page.
• Seven in ten Arizona Medicaid adults with opioid use disorder hold the coverage the work rule reaches. KFF's 2021 figures show 37,146 of 53,972 Arizona Medicaid adults with opioid use disorder enrolled through the expansion, the coverage work reporting will reach once the rule takes effect, no later than January 1, 2027; Crane's mental health and addiction page covers the exemptions.
• 55,000 children in Crane's district get a partial child tax credit or none. Because their parents earn too little, 55,000 children in Arizona's 2nd District, 35%, miss out on the whole credit, by the Columbia poverty center's estimate; the child care credit is covered on Crane's child care and families page.
• Social Security costs rise $168.6 billion for a program serving 1.5 million Arizonans. Social Security's actuary finds $168.6 billion in new net costs for the program from 2025 to 2034; 1,533,323 Arizonans drew benefits in December 2024, and CRFB pegs the average Arizona loss at insolvency at $511 a month. Crane's Social Security page has the votes.
• Leaving SAVE costs Arizona borrowers $1,973 a year. Moved into the Repayment Assistance Plan, Arizona borrowers owe $1,973 more annually on average, by CAP's estimate; the plan itself is explained on Crane's student debt page.
• Veterans lost their SNAP time-limit exemption in a state where 31,000 veterans live in SNAP households. Over 2021 to 2023, an average of 31,000 Arizona veterans lived where SNAP helped buy groceries, and the law removed the veterans exemption, so those aged 18 to 64 with no disability or other exemption now face SNAP's three-month limit; Crane's veterans page adds the Medicaid side.
• Ending clean-energy credits could add about $220 a year on average to Arizona household energy costs by 2035. Repeal of the credits means Arizona households could pay about $220 a year more on average for energy by 2035, Energy Innovation projected in figures CNBC published.

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Last updated: 2026-10-27

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