Viewpoint

The One Big Beautiful Bill Act—Making Medicaid and the Exchanges Sustainable

JAMA 10.1001/jama.2025.24458

November 25, 2025 at 10:00 AM EST

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This Viewpoint discusses the One Big Beautiful Bill Act and making Medicaid and the health insurance exchanges sustainable.

Corresponding Author: Anup Malani, PhD, JD, Centers for Medicare anup.malani@cms.hhs.gov).

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