Health Law Daily Wrap Up, VITAL BRIEFING—OBBBA at one year: What Medicaid changes come next?, (Jul 6, 2026)
By Sheila Lynch-Afryl, J.D., M.A.
The provision defunding Planned Parenthood expired July 5.
On July 4, 2025, President Donald Trump signed the One Big Beautiful Bill Act (OBBBA), Pub. L. No. 119-21 (2025), which made what many consider to be the most significant changes to Medicaid since the program’s inception. In the year since the OBBBA passed, CMS has implemented requirements such as limits to state-directed payments, and the Planned Parenthood defunding provision has survived repeated court challenges. CMS continues to implement many more Medicaid provisions that are effective over the coming months and years, with its rule implementing Medicaid work requirements already challenged by Democratic states.
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