It’s been one year since Congress passed the One Big Beautiful Bill Act (OBBBA), a reconciliation package that
contained many of President Trump’s top policy priorities. The legislation set the stage for significant healthcare
policy changes impacting Medicaid, Medicare, and the Affordable Care Act (ACA) Marketplace. While some provisions are already in effect, many of the provisions expected to result in loss of coverage for 11.8 million Medicaid and Marketplace beneficiaries are still in the process of being implemented. Here’s what you need to know about recent changes and what’s to come.