Resource H.R. 1 Implementation

Eligibility and Enrollment Provisions in OBBBA

This fact sheet summarizes the major eligibility and enrollment changes in OBBBA and highlights how the changes will lead to coverage loss.

Published Year: 2025

The “One Big Beautiful Bill” Act, hereinafter referred to as “OBBBA”, negatively impacts eligibility and enrollment for Medicaid and Marketplace applicants and enrollees in a myriad of ways.

OBBBA restricts access to Medicaid and Marketplace eligibility, imposes administrative barriers that make it harder to enroll in and retain coverage, and makes coverage less affordable. This fact sheet summarizes the major eligibility and enrollment changes in OBBBA and highlights how the changes will lead to coverage loss.