Medicare drug price negotiations lowered out-of-pocket costs for some beneficiaries, but those reaching the annual Part D cap saw no direct savings.
News|Articles|October 15, 2026
5 Things to Know About the One Big Beautiful Bill Act
Author(s)Giuliana Grossi
Fact checked by: Ashley Gallagher, MA
HR 1 brings Medicaid work requirements and narrower immigrant eligibility by January 2027, and CBO projects 10 million more uninsured by 2034.
Advertisement
Advertisement
Several provisions of HR 1, the 2025 federal budget reconciliation law, take effect between October 2026 and January 2027, including Medicaid work requirements and narrower immigrant eligibility, according to federal and state implementation timelines.1-3 The law, formally the One Big Beautiful Bill Act (Public Law 119-21) and now called the Working Families Tax Cuts legislation by federal health agencies, was signed July 4, 2025, and rewrites rules for Medicaid and the Affordable Care Act (ACA) marketplaces.4,5 Here are 5 things to know as its provisions take effect.
Related to this article
CMS ends ACA subsidies for 189,000 enrollees with duplicate Medicare, Medicaid, or CHIP coverage or listed as deceased, with a 30-day dispute window.
Postpartum navigation missed its primary goal but raised postpartum visits and primary care use among Medicaid-insured patients.
CMS' rule ending Medicaid and CHIP funding for pediatric sex-rejecting procedures is now in effect.
Experts explain why access to specialty cancer care, open dialogue, and patient education are essential to building trust and making informed treatment decisions.
In states that covered obesity-labeled GLP-1 RAs, total GLP-1 RA use rose less than obesity-labeled use alone, suggesting possible substitution.
New non-CF bronchiectasis in Medicare is tied to high health care use and $8998 PPPM FFS spending; prevalence is highest in older women.
MedHaul’s platform streamlines nonemergency medical transportation, boosting on-time oncology visits, reducing costs, and helping patients reach critical care across underserved regions.
Advertisement
Advertisement