Build Back Better Act (BBBA) Summary Analysis

On November 19, 2021, the House passed the Build Back Better Act (BBBA). The bill will now move to the Senate, where it will be advanced through the budget reconciliation process, requiring a simple majority of votes in the Senate. Our analysis is based on the version of the BBBA passed by the House on November 19. Funding amounts and programmatic provisions could change between the November 19 version and that which will eventually be passed by the Senate.

The version of the November 19 BBBA appropriates $1.75 trillion for investments in various components of the social safety net infrastructure. The bill includes significant investments in new and existing federal, state, and local health and human services programs and initiatives, including:

  • Expanded Affordable Care Act premium tax credits
  • Enhanced Federal Medical Assistance Percentage for states to fund home-and community-based services
  • Permanent authorization for Money Follows the Person
  • Permanent authorization for the Children’s Health Insurance Program (CHIP)
  • Hearing services coverage under Medicare

In our summary you will find provisions in the November 19 BBBA which we have identified as having a specific impact on health care and human services providers, payers, and other stakeholders. Should you have any questions, please contact your Sellers Dorsey representative, or reach out to us at

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