H.R. 1 & Its Effect on Medicaid

What is the One Big Beautiful Bill Act?

In July 2025, Congress passed the One Big Beautiful Bill Act (OBBBA), also known as H.R.1, and President Trump signed it into law. OBBBA, introduced many changes across government programs and agencies, such as adding the first-ever national work requirements to Medicaid eligibility.

How does OBBBA affect Medicaid?

In a June 2025 analysis, the Congressional Budget Office (CBO) projected that 18.5 million adults per year overall will be affected by the new work requirements. By 2034, Medicaid coverage is predicted to decrease by 5.2 million adults and, because few would be able to enroll in employment-based coverage, the uninsured population to increase by 4.8 million people. Nearly 1 in 3 (or more than 760,000) Vietnamese people in the U.S. depend on public health insurance, including Medicaid.

Click on the links below to learn more about how Medicaid can impact specific groups.