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Index/Topics/One Big Beautiful Bill Act Impact

One Big Beautiful Bill Act Impact

The One Big Beautiful Bill Act's effects on health insurance, including potential cuts to Medicaid and changes to Marketplace rules

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Jan 19, 2026

How have recent federal laws and H.R.1/OBBBA changes altered state incentives to fund immigrant health coverage?

The recent federal changes in the One Big Beautiful Bill Act (OBBBA/H.R.1) tighten who counts as a federally “eligible alien,” restrict premium tax credit (PTC) access, and lower some federal matching...

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