06/19/2025
Senate Releases Budget Proposal with Major Health and Tax Implications for Aging Services
On June 16, the U.S. Senate Finance Committee released its version of the budget reconciliation package, known informally as the “One Big Beautiful Bill.” This sweeping proposal introduces several provisions that could significantly impact aging services providers in Ohio and across the country.
The Senate’s draft includes provisions that may pose even greater challenges for older adults and the providers who serve them. Provisions include more stringent provider taxes, state-directed payment arrangements, retroactive payment changes, and even Medicaid work requirements—all of which may create new challenges for providers caring for older adults.
On the tax side, however, the Senate bill introduces more favorable measures than the House version. These include:
- Expanded charitable giving incentives
- Broader eligibility for 529 education savings plan usage
- A more favorable formula for taxing foundation investment income
- Permanent improvements to the Low Income Housing Tax Credit—a key tool for affordable senior housing
LeadingAge is actively engaged with policymakers and advocating for provisions that support nonprofit aging services providers. LeadingAge is also developing resources for members, including this newly posted resource from LeadingAge offers a helpful side-by-side comparison of the House and Senate proposals. Members may also keep up-to-date on policy impacting nonprofits through this serial post.
Learn more with the LeadingAge Action Center, where members can also take action to make their voices heard at the federal level.
