Welcome to the Federal Health Care Changes Hub

This hub provides a centralized overview of major federal policy shifts impacting health care access and affordability. At the center is the One Big Beautiful Bill Act (OBBBA)—a sweeping legislative package that introduces significant changes to eligibility, coverage, and funding across public health programs. But OBBBA is just one part of a broader transformation.

Alongside the bill, federal agencies are issuing new rules, and Congress is advancing parallel legislation that collectively reshape the health care landscape. These changes affect everything from immigrant eligibility to Medicaid access and consumer protections. Use this hub to stay informed, anticipate impacts, and support your community through the transition.

Understanding OBBBA: A Timeline of Health Policy Changes

Track key dates and policy shifts from the “One Big Beautiful Bill Act” (OBBBA) and HHS’s June 2025 Marketplace Rule with a clear, structured timeline.

This practical roadmap helps policymakers, consumers, and advocates follow the phased rollout of changes impacting access, affordability, and care nationwide.

 

Navigating Health Justice: Tools for Social Workers and Advocates

This training is designed for social workers, case managers, and other frontline service providers who support clients navigating Washington’s health care system.

Through practical tools, real-world scenarios, and policy insights, we aim to strengthen your ability to advocate for health care access and equity—especially for immigrant and underserved communities.

OBBBA: A Threat to Health Coverage in Washington

A new federal law, the One Big Beautiful Bill Act (“OBBBA”), introduces sweeping changes that will make it harder for Washingtonians to get and keep health coverage through Medicaid (Apple Health), Medicare, and the Marketplace (WA Healthplanfinder).

Read NoHLA’s “Five Ways OBBBA Harms Health Care” to learn more.

Important Health Care Changes Ahead: What Immigrants in Washington Need to Know

The federal One Big Beautiful Bill Act (“OBBBA”) changes eligibility standards for Medicaid, CHIP, Medicare, and the Affordable Care Act (ACA) Marketplace—newly excluding many lawfully present immigrants who have previously received care through these programs.

Learn more about these changes in NoHLA’s Upcoming Health Care Changes for Immigrants in WA fact sheet.