Federal Budget Bill Brings Major Administrative & Financing Changes To Medicaid, ACA Marketplace & Medicare 

On July 4, 2025, President Trump signed the 2025 federal budget reconciliation package called the One Big Beautiful Bill (OBBB) Act, which enacts significant administrative and financing changes to health care policy affecting Medicaid, Medicaid expansion plans, Affordable Care Act (ACA) Healthcare Marketplace plans, and Medicare. An early analysis by the Congressional Budget Office (CBO);projected that the overall number of uninsured people will increase and health insurance premiums will likely increase as a result. ;

Medicaid;

For Medicaid, according to an OPEN MINDS analysis of the OBBB the key changes for beneficiaries include a reduction in retroactive . . .