Richard Hudson and the One Big Beautiful Bill Act: Every Roll Call From Budget Plan to Final Law, and the $22.5 Billion It Takes From North Carolina Medicaid

On February 25, 2025, Richard Hudson cast the deciding vote for the House budget resolution that set the committee savings targets behind the One Big Beautiful Bill Act's Medicaid and SNAP cuts; on May 22 his vote decided the bill's 215-to-214 House passage; and on July 3 he cast a vote for the final law. KFF's state split of its Medicaid cut leaves North Carolina $22.5 billion short across a decade.

Counting procedural roll calls, seven of Hudson's votes on the bill were deciding, among them April 2025's rule and the Senate-amended budget resolution and a pair of July 2 roll calls that cleared the way for the Senate's text. On April 16, 2026 he added a vote commending the law. Because of it, 300,000 more North Carolinians will lack insurance in 2034, KFF projects.

Richard Hudson's House Votes on the One Big Beautiful Bill Act, in the Order the Bill Moved

• Hudson's Deciding February 2025 Vote Adopted the Budget Plan Behind the Medicaid and SNAP Cuts. On February 25, 2025, Hudson voted yes three times in a row. The first, ordering the previous question on H.Res. 161, locked in the terms for the budget debate; the second adopted H.Res. 161; the third adopted H.Con.Res. 14, 217 to 215, where a single switch by Hudson produces a tie and a tie loses. Its reconciliation orders: at least $880 billion from Energy and Commerce, in the words "reduce the deficit by not less than $880,000,000,000"; at least $230 billion from Agriculture, SNAP's committee; and up to $4.5 trillion in added deficits from Ways and Means tax changes.
• Hudson's Two April 2025 Yes Votes Were Each the Difference on a Budget Roll Call. The Senate-amended budget came back in April. On April 9, 2025, Hudson was a yes when the House ordered the previous question on H.Res. 313, and again as it adopted that rule 216 to 215, and his April 10 vote concurred in the Senate text, 216 to 214. Either of the last two would have failed had he switched. Nothing changed in the House committees' marching orders, so Energy and Commerce's $880 billion savings target stood.
• Hudson Was One of the 215 Votes That Passed the House Bill by One, in May 2025. May 22, 2025 was the House's day on H.R. 1, and Hudson voted on every question: yes on the two questions of consideration for H.Res. 436, the rule (217 to 211, then 216 to 211); yes to order the previous question (213 to 211); yes on adopting the rule (217 to 212); a vote against the motion to recommit (rejected, 212 to 216); and yes on passage, 215 to 214 with one present. Both the previous question and passage depended on his vote. After the Senate's changes the bill became law, and CBO, as KFF reports, credits its Medicaid changes alone with 7.5 million more uninsured people in 2034; it also halted Planned Parenthood's Medicaid payments for a "1-year period".
• Hudson's July 2025 Votes Opened Debate on the Senate Text, Then Voted for Final Passage. Two July 2, 2025 roll calls on H.R. 1's last rule, H.Res. 566, needed Hudson's yes: consideration, 212 to 211, and the previous-question motion that cut off amendments, 214 to 212. The Foxx amendment to that rule had his vote as well, and on July 3 for the rule and then for final passage, a vote to concur in the Senate's amendment, 218 to 214. President Trump signed Public Law 119-21 the next day. The finished law leaves 10 million more Americans without insurance in 2034 by CBO's count as KFF reports it, and CBPP's verdict on food aid is that "The megabill cuts SNAP by $187 billion or about 20 percent by 2034."
• Hudson Joined the April 2026 House Vote Branding the Law the Working Families Tax Cuts. More than nine months after the law was enacted, Hudson joined a 219-to-207 House majority on April 16, 2026 for H.Res. 1156, which labels it the "Working Families Tax Cuts" and declares it "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," while households in the top 1 percent are pocketing more than $70,000 apiece on average.

What the One Big Beautiful Bill Act Richard Hudson Voted For Costs North Carolina, Topic by Topic

• North Carolina's federal Medicaid money falls $22.5 billion while 244,800 people in Hudson's district rely on the program. Over ten years North Carolina gives up $22.5 billion, or 11%, of its expected federal Medicaid dollars under KFF's allocation, a cut that reaches the 244,800 Medicaid enrollees KFF counts in North Carolina's 9th District. The votes are on Richard Hudson's health care page.
• North Carolina's hospitals lose $32 billion in federal HASP support. The provider-tax limits end the state's HASP hospital payments, an estimated $32 billion federal loss over a decade, the North Carolina Medical Journal reported, and KFF puts $3.44 billion a year of North Carolina hospital payments above the new limits. Hudson's health care page has more.
• 300,000 more North Carolinians will be uninsured in 2034. Three hundred thousand North Carolinians lose coverage by 2034 from the law alone, by KFF's projection, even as CBO finds the richest tenth of U.S. households gaining roughly $13,600 a year. For the tax side, see Hudson's taxes and deficit page.
• North Carolina counties pay $52 million more for SNAP, and the rolls have dropped by 110,000. County budgets across North Carolina are absorbing about $52 million in new SNAP overhead in the first year, and more than 110,000 fewer people were on the state's SNAP rolls by August 2026 than in September 2025, NC Health News reported. See Richard Hudson's food assistance page.
• About 52,000 children in North Carolina's 9th District are priced out of the full child credit. Columbia researchers find that 31% of children in North Carolina's 9th District, about 52,000, live with parents whose pay is below what the law's whole credit requires, as Richard Hudson's child care and families page explains.
• Homeless North Carolinians lost their SNAP exemption, in a district where 31% rely on Medicaid. Nearly a third of North Carolina's 9th District, 31%, was on Medicaid in 2025 by KFF's count, and since December 1, 2025 the state no longer exempts homeless adults from SNAP's time limit. Hudson's homelessness and poverty page covers both.
• North Carolina's 2.2 million Medicare enrollees face an earlier hospital-fund shortfall. KFF counted 2,228,458 North Carolinians on Medicare in 2024. Its hospital fund was already projected to run dry in 2033, and the law moved depletion one quarter earlier within that year, primarily by lowering tax revenue on Social Security benefits, KFF reports; meanwhile lawfully present immigrants already identified lose Medicare on February 1, 2027, the date CMS has proposed. The votes are laid out on Richard Hudson's Medicare page.
• Medicaid, the main payer for six in ten North Carolina nursing-home residents, loses money under the law. North Carolina's certified nursing facilities had 35,329 residents, and Medicaid was the main payer for 60% of them, KFF reports; the law also keeps the federal staffing standard unenforced until 2034. See Richard Hudson's elder care page.
• Disabled adults in North Carolina's Medicaid expansion must qualify for an exemption or meet the work rule. Disability was the basis for Medicaid coverage for 27,300 enrollees in North Carolina's 9th District in 2025, KFF says; the work rule covers the expansion group instead, where a disabled adult must qualify for an exemption or log work hours. Richard Hudson's disability rights page has the votes.
• 31,882 North Carolina Medicaid adults with opioid use disorder face a weaker program. Medication for opioid use disorder reached 16,568 North Carolina Medicaid adults in 2021, out of 31,882 diagnosed, by KFF's count, and the law's work rule reaches the more than 685,000 people expansion added to the program. The addiction details are on Richard Hudson's mental health and addiction page.
• The law strains the fund that pays 168,880 Social Security beneficiaries in Hudson's district. In North Carolina's 9th District, 168,880 people drew Social Security at the end of 2024, and Social Security's chief actuary scores the law at $168.6 billion in extra cost for the program through 2034. Details are on Richard Hudson's Social Security page.
• Leaving SAVE for RAP costs North Carolina borrowers $1,767 a year. Borrowers in North Carolina who move from SAVE to RAP pay $1,767 a year more on average, by the Center for American Progress's estimate; Richard Hudson's student debt page has the votes.
• North Carolina ended veterans' SNAP exemption; 47,000 of its veterans live in SNAP homes. CBPP counts about 47,000 North Carolina veterans in SNAP households, and as of December 1, 2025 North Carolina dropped the veterans' exemption from SNAP's time limit, so those without another exemption must meet the work rule. More is on Richard Hudson's veterans page.
• Energy bills for North Carolina households could rise about $490 a year by 2035. Energy Innovation, in an estimate CNBC published, projects the law's energy changes could cost the average North Carolina household about $490 more per year by 2035.

Frequently Asked Questions About Richard Hudson on One Big Beautiful Bill

Last updated: 2026-10-27

Candidate Records