OBBBA Medicaid Policy Timeline

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. Click here for a downloadable PDF version.