Nick Begich III and the One Big Beautiful Bill Act: 18 Roll Calls, Seven of Them Decisive, and What the Law Costs Alaska

Nick Begich III's yes was among the 215 that carried the One Big Beautiful Bill Act past 214 in May 2025, and the law now cuts Alaska's federal Medicaid money by $2.015 billion across ten years. He voted yes again on July 3, 2025. The president signed Public Law 119-21 the next day.

Seven of Begich's 18 roll calls on the bill were decisive. They include both budget resolution votes, in February and April 2025. That budget set Energy and Commerce, which oversees Medicaid, a savings target of at least $880 billion, and Agriculture, which oversees SNAP, a target of $230 billion. In April 2026, Begich voted for a resolution that celebrated the law.

For Alaska, KFF projects 25,000 more uninsured residents by 2034. SNAP administration costs the state roughly $11 million more each year.

Nick Begich III's House Votes on the One Big Beautiful Bill Act, in Order

• Budget Resolution, February 2025: Begich's Yes Was the Difference. February 25, 2025 brought three roll calls, and Nick Begich III voted yes on each, starting with roll call 46. That one ordered the previous question on H.Res. 161, the rule. Roll call 47 adopted the rule. Roll call 50 adopted H.Con.Res. 14, 217 to 215; one Begich switch would have produced a tie, and a tie would have lost. The plan instructed Energy and Commerce to "reduce the deficit by not less than $880,000,000,000" over ten years. Agriculture, home of SNAP, drew a $230 billion minimum. Tax writers at Ways and Means were cleared to add as much as $4.5 trillion to deficits.
• Final Budget Resolution, April 2025: Two More Deciding Votes From Begich. Roll call 93, on April 9, 2025, ordered the previous question on H.Res. 313, with Begich voting yes. Roll call 94 adopted that rule 216 to 215, again with his yes. It took up the Senate-amended budget resolution. Roll call 100, on April 10, concurred in it, 216 to 214. Begich's lone switch on roll call 94 or 100 would have flipped the outcome. The committee instructions survived in the final version. Begich's July 3 vote was one of 218 for the final law, which enacted the Medicaid cuts: $911 billion across a decade, KFF reports from the Congressional Budget Office's estimate.
• House Passage, May 2025: 215 to 214, and Begich Was One of the 215. May 22, 2025 held six roll calls for Begich, all on H.R. 1 and its rule. First came a pair of consideration questions on H.Res. 436: roll call 139 (217 to 211) and 140 (216 to 211), Begich yes on each. Roll call 141 ordered the previous question, 213 to 211, needing his yes. Roll call 142 adopted the rule, 217 to 212. Begich voted against the motion to recommit on roll call 144; it lost 212 to 216. Roll call 145 passed H.R. 1, 215 to 214, one member present, with Begich's yes deciding it. The Senate sent back a version that Begich voted for in July as final law. KFF reports the Congressional Budget Office's estimate that its Medicaid changes raise the uninsured count by 7.5 million in 2034. Planned Parenthood also lost Medicaid payments for a "1-year period".
• Final Passage, July 2025: Begich Decided Two Rule Votes, Then Voted for the Law. Roll call 186, on July 2, 2025, asked whether to consider H.Res. 566, which governed debate on the Senate version; it carried 212 to 211 with Begich voting yes. Roll call 187 ordered the previous question, 214 to 212, also with his yes. Either one would have failed had he alone switched. He voted for roll call 188, the Foxx amendment to the rule. On July 3 he voted for roll call 189, the rule, 219 to 213, and roll call 190, final passage, 218 to 214. The Congressional Budget Office, as KFF reports, expects 10 million more uninsured Americans in 2034 as a result. CBPP's count of the SNAP cut: "The megabill cuts SNAP by $187 billion or about 20 percent by 2034."
• Praise Resolution, April 2026: Begich Voted to Hail the Law as Tax Relief for Workers. Roll call 121 of 2026, on April 16, adopted H.Res. 1156 by 219 to 207, and Begich voted yes. The resolution brands the law the "Working Families Tax Cuts." It claims the law "will result in a 15 percent tax cut for Americans whose income is in the bottom 40 percent." ITEP's 2026 numbers say otherwise: "For the poorest fifth of Americans, the average tax change from OBBBA is a small tax increase". Tax cuts for the top 1 percent average above $70,000.

What the Law Nick Begich III Voted For Costs Alaska, Topic by Topic

• Alaska gives up $2.015 billion in federal Medicaid money. Ten years, $2.015 billion, 11%: that is Alaska's Medicaid loss in KFF's split of the CBO estimate. It lands on a program that covered 210,400 Alaskans in 2025. Begich's Medicaid votes are on his health care page.
• As many as 13,611 Alaskans stand to lose Medicaid over paperwork and work hours. Starting January 2027, Alaska expansion adults must show work hours or an exemption. The state's model has 9,452 to 13,611 of them losing coverage. The poorest Alaskans' stake is on Begich's homelessness and poverty page.
• The law leaves 25,000 more Alaskans without insurance. Alaska's uninsured count rises 25,000 by 2034 from the law alone, KFF projects. Nationally, the richest tenth pockets about $13,600 a year. Begich's tax record is on his taxes and deficit page.
• Running SNAP costs Alaska an extra $11 million a year. Alaska Public Media reported that the state's SNAP administration bill climbs about $11 million annually. A benefit-cost share, close to $40 million at today's error rate, could arrive by 2030. His food assistance page walks through the SNAP votes.
• Medicare's hospital fund runs short sooner for 118,047 Alaskans. Alaska counted 118,047 people on Medicare in 2024. The trustees now project the hospital fund runs dry in 2033, a quarter sooner, with lower revenue from the law's tax changes the main reason. Some lawfully present immigrants lose Medicare on February 1, 2027, by the Center for Medicare Advocacy's reading of CMS's proposed rule. Begich's Medicare page has both.
• Medicaid funds care for 71% of Alaska nursing-home residents. Alaska's certified nursing facilities had 749 residents in 2025. For 71% of them, Medicaid was the main payer. Federal staffing rules for those homes are frozen until 2034 under the law; more is on Begich's elder care page.
• 11,500 Alaskans on Medicaid through its disability group draw on the funds the law cuts. Alaska's at-large district had 11,500 people with disabilities on Medicaid in 2025, and the law's $2.015 billion Medicaid cut for the state reaches the care they get. Separately, disabled expansion adults must qualify for an exemption or log hours. More is on Begich's disability rights page.
• Most Alaska Medicaid adults with opioid addiction are in the expansion group the work rule covers. The 2021 count: 6,522 Alaska Medicaid adults with an opioid use disorder, 4,310 of them in the expansion, the group the work rule targets. Begich's mental health and addiction page explains the exemption.
• 41,000 Alaska kids cannot get the whole child tax credit. A quarter of Alaska's children, 41,000, have parents whose earnings fall below what the law requires for the full credit, Columbia's poverty center estimates. Details sit on Begich's child care and families page.
• A $483 monthly cut awaits the average Alaska retiree at insolvency. The chief actuary scores the law at $168.6 billion in added Social Security costs. CRFB estimates the average Alaska retiree's check shrinks $483 a month once the retirement fund is empty. Alaska had 118,014 beneficiaries in December 2024, and Begich's Social Security page carries the votes.
• Alaska borrowers moved off SAVE owe $2,414 more each year. For an Alaskan pushed off SAVE onto the new plan, CAP estimates the yearly bill rises $2,414. Begich's student debt page lists his votes.
• Alaska veterans on SNAP, about 4,000, lose the veterans' exemption from the time limit. About 4,000 Alaska veterans were in SNAP households from 2021 to 2023. Veterans no longer have their own exemption from SNAP's three-month limit, so those under 65 with no other exemption must log work hours; Alaska's turn comes January 1, 2027. Begich's veterans page tells the rest.
• Medicaid stopped paying for Alaska patients' Planned Parenthood visits. Planned Parenthood patients in Alaska on Medicaid were expected to pay sliding-fee charges from October 6, 2025, while the law's one-year Medicaid cutoff ran, the Alaska Beacon reported. Nearly 30 Planned Parenthood health centers closed nationwide during that year.

Frequently Asked Questions About Nick Begich III on One Big Beautiful Bill

Last updated: 2026-10-27

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