Final Health Care Provisions in the “One Big Beautiful Bill Act”

On July 4, President Donald Trump signed into law the Republican budget reconciliation package, also referred to as the One Big Beautiful Bill (OBBB) Act. The legislation enacts sweeping changes to tax, immigration, energy, education and health care policy. Among its most controversial provisions are an estimated $1 trillion in reductions to the Medicaid program, with the most significant changes set to take effect in 2028.

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