Medicaid Provisions and Implementation of the One Big Beautiful Bill

MMA Patient Resource:

Resource detailing how patients can stay informed and engaged on possible changes to Medicaid coverage and benefits: Medicaid Funding Changes: What Patients & Families Need to Know

State Roadmaps:

Issue briefs:

Blog: New Issue Briefs Reveal Consequences of Harmful Medicaid Provisions in House Reconciliation Package

Research and data on impact of Medicaid funding cuts:

Projected Reductions in Medicaid Expansion Enrollment Under OBBBA’s Work Requirements and Six-Month Redeterminations (Urban Institute, March 25, 2026)
- Research projecting enrollment impacts of OBBBA’s work requirements and more frequent eligibility checks for Medicaid expansion enrollees.
State-Level Impacts of Key Medicaid Provisions in the One Big Beautiful Bill Act (RAND, February 26, 2026)
- Breakdown of projected impacts of the legislation by state and provision as well as policy implications for states.
The One Big Beautiful Bill Act Will Increase the Number of Americans Without Health Coverage in Every State and Congressional District (Center for American Progress, September 5, 2025)
- Estimated increase in the uninsured population due to OBBB and the expiration of the ACA’s enhanced premium tax credits.
How Will the 2025 Reconciliation Law Affect the Uninsured Rate in Each State? (KFF, August 20, 2025)
- Interactive maps with state-by-state data on the expected increase of uninsured individuals due to OBBBA.
A Closer Look at the Work Requirement Provisions in the 2025 Federal Budget Reconciliation Law (KFF, July 30, 2025)
- Break down of CBO estimates and analysis of work requirements.
Allocating CBO’s Estimates of Federal Medicaid Spending Reductions Across the States: Enacted Reconciliation Package (KFF, July 23, 2025)
- Chart and map showing the federal spending cuts by state and by type.
Medicaid Work Requirements Will Take Away Coverage From Millions: State and Congressional District Estimates (Center on Budget and Policy Priorities, July 22, 2025)
- State-by-state data estimating coverage losses due to work requirements in OBBBA.
Budget Reconciliation Law Takes Aim at Medicaid and the Affordable Care Act (Georgetown CCF, July 17, 2025)
- Detailed breakdown of key cuts and administrative requirements, including effective dates and impact to expansion vs non-expansion states.
Projected Health System and Economic Impacts of 2025 Medicaid Policy Proposals (JAMA Health Forum, July 16, 2025)
- Modeling on the impact of Medicaid cuts on local areas in terms of estimated excess deaths, hospitalizations, people who delay care, and people who do not adhere to their medicine.
Medicaid Cuts and the States: Tracking State-Specific Estimates of the Impacts of Proposed Changes (SHVS, July 11, 2025)
- State-by-state data estimating the impacts of specific policies within OBBBA, including reduction in federal funding and coverage loss.

Resources on policy implementation:

Medicaid and CHIP Policy Implementation Roadmap (CMS, April 18, 2026)
- To assist states with their implementation and planning efforts, CMS developed timelines to reflect key provisions with policy or technology requirements for selected final rules and statutes that may require changes to state Medicaid Enterprise Systems (MES). Note: the timelines do not include the work requirements regulation.
Tracking Implementation of the 2025 Reconciliation Law: Medicaid Work Requirements (KFF, last updated March 6, 2026)
- Comprehensive resource tracking key data and policies that will affect how states implement Medicaid work requirements.
Status of State Medicaid Expansion Decisions (KFF, last updated March 12, 2026)
- Current status for each state’s decision to adopt or not adopt Medicaid expansion, with an analysis of the state’s expansion activity including amendments to adopt work requirements.
Preparing a “Landing Pad”: Mitigating OBBBA’s Harms to the Medicaid Safety Net (NHeLP, Feburary 19, 2026)
- Overview of how states can mitigate effects of Medicaid cuts.
From Planning to Action: Tracking Which State Agencies Are Leading RHTP Implementation (SHVS, January 16, 2026)
- Resource that maps which agencies within each state are leading implementation of the Rural Health Transformation Program (RHTP) and tracks next steps states are taking.
A Technical Guide for States to Reduce Procedural Terminations from Medicaid’s Work Reporting Requirements (NHeLP, January 12, 2026)
- A guide offering recommendations for minimizing procedural terminations connected with OBBBA’s work requirements.
Untangling the Current Debate Around Federal Medicaid Cuts, the “Rural Health Transformation Program” and State Medicaid Budgets (Georgetown CCF, September 2, 2025)
State-by-State Effects of the 2025 Budget Reconciliation Law (Georgetown CCF)
- Lists the Medicaid/CHIP/Marketplace provisions of OBBB, which populations are impacted by each provision and which states.
Health Provisions in the 2025 Federal Budget Reconciliation Law: Medicaid (KFF, August 22, 2025)
- Detailed summary of health provisions in OBBB. Page specific to all the Medicaid provisions.
Implementation Dates for 2025 Budget Reconciliation Law (KFF, August 4, 2025)
- Breakdown of health care provisions in OBBB, including start date and description. Can filter by Medicaid.
The Implementation Timeline of the One Big Beautiful Bill Act (Center for American Progress, July 29, 2025)
- Timeline with detailed breakdown of implementation of cuts. Can filter by Medicaid for specifics on program timeline.
Medicaid, CHIP, and Affordable Care Act Marketplace Cuts and Other Health Provisions in the Budget Reconciliation Law, Explained (Georgetown Center for Children and Families, July 22, 2025)
- Detailed explainer and analysis of Medicaid provisions in the budget reconciliation law.
CBO Analysis on the passed OBBBA (CBO, July 21, 2025)
- Estimates of the budgetary impacts of OBBBA, including a timeline for each policy.

State resources:

2026 Legislative Session Dates (StateScape)
2026 State Legislative Session Calendar (NCSL)
Proposed & Enacted Budgets (NASBO)