OBBBA - Medicaid - Utah DHHS
HR 1 (One Big Beautiful Bill Act, 2025)
On July 4, 2025, HR 1, also known as the
One Big Beautiful Bill Act (OBBBA)
, was signed into law. The bill included more than 21 Medicaid reforms. Most of the provisions in the bill will go into effect beginning in the fall of 2026 or later.
Utah Medicaid is currently reviewing the bill, analyzing it for impacts and estimates, and preparing for future programmatic changes.
There are many details that have yet to be defined.
We anticipate that guidance from the Centers for Medicare and Medicaid Services (CMS) will be provided to states over the next several months. This guidance will give Utah further direction from the federal government on how to implement these changes.
While some members without citizenship may lose eligibility in the fall of 2026, the majority of Medicaid members should not feel an immediate impact from this bill
Benefits will stay the same for the large majority of kids, adults with disabilities, and pregnant and postpartum women. However, the new law will make some people without citizenship ineligible for Utah Medicaid starting in the fall of 2026.  Utah’s
State CHIP
program will continue to be an option for qualifying children through June 2028.
If you think you may be eligible for
Medicaid
or the
Children’s Health Insurance Program (CHIP)
, you may
apply at any time
. Even if you’ve lost coverage in the past, you can reapply. If you have questions about applying for these programs, you can call 1-877-543-7669.
Changes for immigrants
Information for American Indians and Alaskan Natives (AI/AN)
HR 1 Fact Sheet
Utah Medicaid and HR 1 FAQ for partners (January 2026)
Utah Medicaid and HR 1
FAQ for members
(January 2026)
Utah Medicaid and HR 1
FAQ for providers
(August 2025)
Utah Medicaid and HR 1
presentation
(August 2025)
OBBB Timeline
If you have questions about HR 1, please email
[email protected]
Translate ❯