UPSTREAM USA

In Q3 2025, Upstream USA was focused on doing outreach to House and Senate members regarding the threats to Medicaid cuts in the budget reconciliation bill (HR 1) and the implications they would have on contraceptive access leading up to the reconciliation vote. We provided members with facts regarding potential impacts on healthcare coverage broadly, hospitals, and state and local economies. Outreach focused on Republicans who signed onto letter(s) opposing the bill, members of the Senate Finance Committee, members of the primary care and Community Health Center caucuses. Following the passage of the reconciliation bill, Upstream engaged in meetings with Congressional offices to share more about Upstream's free training and technical assistance and our policy priorities (such as funding for Community Health Centers and Title X programs) and the reintroduction of the Medicare bill. We also worked with Rep. Nydia Velazquez's office to provide feedback/edits to the World Contraception Day resolution text and ultimately endorsed it. Finally, we did outreach to Senate appropriations committee members to advocate for CHC and Title X funding prior to the appropriations process.

At the very beginning of Q3 2025, Upstream USA was focused on doing outreach to House and Senate members regarding the threats to Medicaid cuts (provider taxes, work requirements, etc) in the budget reconciliation bill (HR 1) and the implications they would have on contraceptive access. We provided members with facts regarding potential impacts on healthcare coverage broadly, hospitals, and state and local economies. Outreach focused on Republicans who signed onto letter(s) opposing the bill, members of the Senate Finance Committee, members of the primary care and Community Health Center caucuses. This lobbying ultimately stopped after the reconciliation bill was passed.