Resource Policy Policy Analysis

OBBBA Medicaid Policy Timeline

This timeline outlines key Medicaid policy changes introduced by the One Big Beautiful Bill (OBBBA / H.R. 1) with the greatest operational impact on state and territory agencies and highlights upcoming implementation deadlines.

Organization: National Association of Medicaid Directors (NAMD)

Published Year: 2025

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This toolkit resource helps state and territory Medicaid leaders navigate significant policy shifts under OBBBA by spotlighting provisions that require early decision-making—such as system updates, budget planning, or federal approvals from CMS.

While not exhaustive, the timeline focuses on the most urgent changes and includes a downloadable PDF version for ease of reference.