OBBBA Medicaid Policy Timeline

Federal/National News
Written By Sharon Daugherty

By NAMD Staff / August 8, 2025

This resource outlines key Medicaid policy changes in OBBBA with the greatest operational impact and upcoming deadlines for state and territory agencies.

The One Big Beautiful Bill Act (OBBBA) includes a number of major Medicaid policy changes that will demand significant time and planning from state and territory agencies. This timeline spotlights key provisions with the greatest operational impact, such as those that may require new systems, budgetary processes, or federal approvals from CMS well before their effective dates. While not a complete list of every policy in OBBBA, this resource highlights key provisions with upcoming deadlines, many of which require states and territories to make critical implementation decisions now.

Sharon Daugherty
Previous

Are States Ready to Implement HR 1 and Medicaid Work Reporting Requirements?
Next

Buying health insurance on the ACA marketplace? Prepare for Ohio premiums to go up – by quite a bit