PCG Summary of Medicaid Related Provisions – 2025 HR 1 One Big Beautiful Bill Act  

On July 4th, 2025, President Trump signed into law the 2025 HR 1 One Big Beautiful Bill Act (OBBBA) which contains several Medicaid related provision. PCG subject matter experts have a summary of Medicaid-related provisions but note OBBBA includes one significant non-Medicaid provision which provides for the creation of a Rural Hospital Transformation program allotting $50 billion to states over 5 years ($10 billion per year in each of federal fiscal years 2026 through 2030) to improve healthcare access and outcomes for rural communities. 

PCG’s summary of each Medicaid-related section includes information on the implementation dates and associated savings or cost estimates prepared for each item by the Congressional Budget Office. It also identifies implementation funding provided under the bill for each item, as appropriated to the Centers for Medicare and Medicaid (CMS) and/or to CMS for purposes of being allotted to state. The full PCG summary of Medicaid Related Provisions of 2025 HR1 One Big Beautiful Bill Act is available here;