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Avisery Resources on the 2025 One Big Beautiful Bill Act (OBBBA)
On July 4, 2025, President Trump signed federal budget legislation (the One Big Beautiful Bill Act, or OBBBA) that will bring sweeping changes to publicly funded health programs over the next ten years. The Congressional Budget Office estimates that as many as 12 million Americans will be uninsured by 2034 because of the Act.
In addition to direct loss of insurance coverage, the Act uses several strategies to shift Medicaid costs from the federal to the state level and limits the ability of state governments to raise additional revenue in response. Visit this page often to see updated resources from Avisery about the policy changes stemming from this sweeping legislation and their impact on low-income older adults and adults with disabilities in Illinois.
Avisery’s Initial Analysis of the Impact of OBBBA on Illinois’ Low-Income Older Adults and Adults with Disabilities – Updated July 2025
The direct impact of the legislation on low-income individuals will depend on their insurance coverage and upon the time that certain provisions go into effect. Click here to read our analysis and to access a table summarizing our findings.
Additional Resources (More to come!)
IL Dept. of Healthcare and Family Services: Federal Resource Center
Justice in Aging: The Budget Reconciliation Act of 2025 Means Harmful Cuts for Older Adults