News|Articles|January 9, 2026

5 Key Health Care Changes During Trump’s First Year Back in Office

Fact checked by: Christina Mattina

President Donald J. Trump's health care overhaul during the first year of his second term reshapes Medicaid, vaccine policies, and drug pricing.

In 2025, the Trump administration launched a sweeping overhaul of the American health care landscape, marked by the enactment of the landmark One Big Beautiful Bill and a series of transformative executive actions. From the codification of stringent federal Medicaid work requirements to a radical restructuring of the national vaccine schedule under HHS Secretary Robert F. Kennedy Jr, these shifts represent a fundamental departure from the previous administration’s focus on entitlement and expanded coverage.