After months of intense negotiation, President Trump’s sweeping budget reconciliation package – the One Big Beautiful Bill Act (H.R. 1) – was signed into law on July 4, 2025. This 870-page legislation not only extends key tax cuts but also introduces major reforms to Medicaid and the Affordable Care Act, with nearly $930 billion in Medicaid cuts projected over the next decade.
This law has major implications for the healthcare industry, especially Medicaid beneficiaries, payors and providers. Stakeholders should prepare for significant changes in coverage, reimbursement, and regulatory oversight.
Read on for a comprehensive summary of the final health-related provisions of H.R. 1.
Visit our Reconciliation Roadmap Resource Center for more news, insights, and analysis of the reconciliation process.
