On Point | Podcast How the ‘One Big Beautiful Bill Act’ impacts health care
Jun 16, 2025
Larry Levitt, Executive Vice President at KFF, delves into the controversial 'One Big Beautiful Bill Act' and its sweeping changes in healthcare policy. He highlights how the bill may lead to significant coverage loss for low-income immigrants, cuts premium assistance, and introduces work requirements for Medicaid. The implications for Medicare and the burdens on hospitals serving vulnerable populations are also examined. Levitt's insights shed light on the urgent need for comprehensive reforms as the healthcare landscape faces increasing challenges.
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ACA Enrollment Period Cuts Coverage
- The bill shortens the Affordable Care Act's open enrollment period by a month, ending it December 15th instead of January 15th.
- About 40% of people select plans after December 15th, which could leave millions uninsured if the bill passes unchanged.
Fraud Justification Adds Barriers
- The bill claims to target fraud, waste, and abuse as justification for removing automatic renewals and requiring income verification.
- These changes add paperwork burdens that may cause people to lose coverage despite eligibility.
Immigrant Access to ACA Coverage Ended
- Lawfully present immigrants residing in the U.S. under five years would lose eligibility for ACA coverage under the bill.
- These immigrants have no alternate coverage options and would become uninsured.