What's in the One Big Beautiful Bill?

About the big beautiful bill

Executive Summary

The One Big Beautiful Bill is comprehensive legislation that includes significant changes to healthcare policy in America. This page provides an overview of the major healthcare-related provisions. Select any section to learn more about specific changes and what they mean for you.

Healthcare Categories

Healthcare Provision Categories

Medicare Changes

Overview of changes affecting Medicare beneficiaries, including coverage modifications, cost-sharing adjustments, and program administration updates.

Medicaid Changes

Summary of Medicaid program modifications, eligibility requirements, state flexibility provisions, and coverage changes.

Private Insurance Market

Changes affecting employer-sponsored insurance, individual market plans, Health Savings Accounts, and insurance regulations.

Prescription Drug Pricing

Provisions related to drug pricing, pharmacy benefits, manufacturer programs, and patient out-of-pocket costs.

Healthcare Workforce

Changes affecting healthcare providers, training programs, scope of practice, and workforce development initiatives.

Public Health Programs

Modifications to public health funding, community health centers, prevention programs, and emergency preparedness.

Implementation Timeline

Not all provisions take effect immediately. Here’s when key changes are scheduled to begin:

Provision	Effective Date
Medicare Changes	January 1, 2026
Medicaid Changes	March 1, 2026
Private Insurance Market	July 1, 2026
Prescription Drug Pricing	October 1, 2026
Healthcare Workforce	January 1, 2027
Public Health Programs	April 1, 2027

Official Resources

For those who want to read the source documents: