Marketplace and Medicaid Updates
National Bleeding Disorders Foundation (NBDF) Public Policy & Access Team
Big changes are coming this Fall to the ACA health insurance Marketplaces. New federal regulations, combined with the “One Big Beautiful Bill Act” signed into law on July 4th, mean that many insurance purchasers will face higher costs, new restrictions on eligibility, and more paperwork during open enrollment and beyond. In addition, the “One Big Beautiful Bill Act” cuts $1 trillion from the Medicaid program and makes sweeping changes to eligibility, enrollment processes, and more. The new Medicaid requirements are not yet in effect now – for the most part, they phase in beginning in 2027 – but we know they are coming. It’s not too early to learn what you can start doing now to prepare for Medicaid work reporting requirements and other program changes.
Check out these resources to learn more:
Action alert, Call on Congress to Keep the Health Care Tax Credit!
Slides from BDC session, Decoding Your Insurance
One-page handout, Preparing for Marketplace Open Enrollment (Fall 2025)
One-page handout, Preparing for Medicaid Changes
NBDF Insurance Toolkit(updates coming soon)
NBDF Wednesday webinar (coming soon)
