UPDATE: On June 4, 2025, the Congressional Budget Office (CBO) released updated cost estimates of H.R. 1, the One Big Beautiful Bill Act. We have updated our summary of the bill’s health provisions to reflect these new CBO scores.
On May 22, 2025, the US House of Representatives passed its reconciliation package, now known as H.R. 1, One Big Beautiful Bill Act, by a 215 – 214 – 1 vote, advancing an agenda that extends and builds on tax cuts enacted in President Trump’s first term.
The bill contains several policies including Medicaid provisions that would alter enrollee eligibility and how states finance their share of Medicaid funds, Medicare physician payment, Affordable Care Act Marketplace enrollee eligibility and benefits, and more. The bill now moves to the Senate, which is expected to make changes to key provisions.
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