The House just passed ‘One Big Beautiful Bill.’ Here are the healthcare issues in it. (Advisory Board)

In a razor-thin 215–214 vote, the House passed the “One Big Beautiful Bill Act”—a sweeping budget package packed with provisions that could dramatically reshape Medicaid, Medicare, and ACA policy. From new work requirements for Medicaid recipients and MAGA investment accounts for newborns, to Medicare payment changes, ACA enrollment restrictions, and bans on gender-affirming care coverage, the bill marks a turning point in federal health policy.