Bill Basics & Timeline
This Milbank Quarterly author argued the law “decimates health care access for all but a privileged few,” especially for immigrants?
Who is Tiffany Joseph?
The law’s new federal community‑engagement (work) requirements begin on this date.
What is January 1, 2027?
Relative to baseline, total insured is projected to decrease by roughly this many by FY2034
What is about 10 million?
These ACA “exchanges” are expected to see enrollment effects from the law’s changes to subsidies/eligibility.
What are the ACA marketplaces (exchanges)?
This Milbank Quarterly author argued the law “decimates health care access for all but a privileged few,” especially for immigrant/mixed‑status families.
Who is Tiffany Joseph?
This marketing nickname was used by President Trump for the 2025 tax‑and‑spending law signed on July 4, 2025.
What is “One Big Beautiful Bill”?
Non‑exempt adults must complete this many hours of work or community engagement per month.
What is 80 hours per month?
CBO’s projection that Medicaid changes alone reduce coverage by this many people in 2034
What is about 7.5 million?
The law expands these tax‑advantaged accounts for medical expenses.
What are Health Savings Accounts (HSAs)?
This national advocacy org published an explainer on immigrant‑focused impacts of the bill.
What is the National Immigration Law Center
The tendency of eligible families to avoid benefits out of fear or confusion is known as this effect.
What is the chilling effect?
Name one frequently cited exemption category (per policy summaries) that would not have to meet the work requirement.
What is pregnancy (also acceptable: disability/medically frail; caregiving for a young child, as defined in guidance)
CBO estimates of “nearly” this many losing coverage overall.
What is nearly 12 million?
Name one reason analysts say marketplace churn may rise under the law.
What is tighter eligibility/verification (or) interaction with Medicaid changes affecting affordability
The tendency of eligible families to avoid benefits out of fear or confusion is known as this effect.
What is the chilling effect?
Reuters reported a political rebranding strategy for the law in advance of midterms; name it.
What is the “Working Families Tax Cut”?
In Medicaid expansion states, beneficiaries must verify compliance this often
What is every six months?
This independent nonprofit maintains an ongoing tracker of the law’s Medicaid
What is KFF (Kaiser Family Foundation)?
Besides Medicaid and the ACA, name one other federal health program whose rules the law adjusts.
What is Medicare?
Reuters reported a political rebranding strategy for the law in advance of midterms; name it.
What is the “Working Families Tax Cut”?
Name two groups analysts say face heavier administrative burdens as the law rolls out.
What are Medicaid enrollees and state Medicaid agencies? (Daily Double 1)
Beyond work rules, analysts note the law tightens certain state Medicaid financing tools. Name one of the two commonly cited areas.
What are caps on provider taxes or limits on state‑directed payments?
KFF allocates national coverage/spending changes to states using this method.
What is proportional allocation based on each provision’s projected Medicaid spending reduction (from CBO) to states?
State officials warn of premium spikes for some households; give one step marketplaces can take to cushion transitions.
What is enhanced outreach/navigation, grace period management, or special enrollment guidance
Name two groups that will face heavier administrative burdens as the law rolls out.
What are Medicaid enrollees and state Medicaid agencies (and their contractors)?