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1Jessica Bylander (jbylander@projecthope.org) is a deputy editor and correspondent at Health Affairs, in Washington, D.C. This article, part of a series on the impact of H.R. 1, is being published with the support of a journalism grant from the National Institute for Health Care Management Foundation.
Health Affairs (Project Hope)
|September 9, 2026
Abstract:
The 2025 federal budget reconciliation legislation, H.R. 1, includes sweeping changes to Medicaid that affect immigrants, Medicaid expansion enrollees, and providers and health systems.