One Big Beautiful Bill Act
Coverage of One Big Beautiful Bill Act in the Nexus archive.
- Philanthropy’s best-kept secret: the more you have, the less you’re required to give
The 50 largest US private foundations hold over $535 billion collectively, facing a mandated minimum annual distribution of 5%, a requirement that remains untouched despite changes in tax law. New legislation, such as the One Big Beautiful Bill Act, has weakened several historical incentives for charity by introducing new floors and caps on deductions. Consequently, this structural payout requirement, rather than personal inclination, is becoming the central mechanism governing how capital moves in American philanthropy.
- Capitol agenda: ‘No tax’ fever hits Congress
Special tax carve-outs are highly discussed in Congress as lawmakers seek to address voters' affordability concerns ahead of midterms. Proposals covering areas like utility bills, health care, tips, and car loans are modeled after provisions from the One Big Beautiful Bill Act. The trend has generated frustration among some conservatives regarding code clutter, while progressives worry about lost funding dollars; meanwhile, fiscal hawks raise concerns over shrinking the tax base.
- As federal protections fade, disabled Americans fear a return to institutions
Disability advocates are concerned that federal and state policy changes and budget cuts could jeopardize home- and community-based care for people with disabilities, risking a return to institutions. Advocates report that the federal government has withdrawn from decades-old requirements, while state leaders are rolling back services citing budget shortfalls. These efforts are being actively fought by advocates like Rob Stone to preserve crucial support systems.
- As federal protections fade, disabled Americans fear a return to institutions
Disability advocates are concerned that federal and state policy changes and budget cuts are eroding protections meant to keep people with disabilities living in their communities rather than institutions. The article notes that the federal government has reduced requirements for states to deliver disability services, while state leaders are rolling back community services citing budget shortfalls, impacting programs like Medicaid.
- Lawrence faults Barrett over Medicaid cuts, renews Medicare for All push
William Lawrence, a Democratic congressional candidate, criticized the One Big Beautiful Bill Act for imposing Medicaid work requirements and increasing uninsured individuals by 10 million by 2034. Health professionals warned of reduced access to care and higher hospital costs. Lawrence renewed his push for Medicare for All.
- Watch live: Trump seeks to sell economic agenda, tax cuts in Las Vegas speech
President Trump will deliver a speech in Las Vegas promoting his administration’s economic agenda and the One Big Beautiful Bill Act, which includes tax cuts. The event aims to address voter concerns about affordability ahead of the November midterms.
- Republicans cut healthcare spending. Now Arizonans are paying the price.
Congressional Republicans enacted the One Big Beautiful Bill Act in 2025, slashing healthcare funding for families in need by over $1 trillion through 2034. This led to soaring premiums, hospital closures like Select Specialty Hospital-Tucson East, and projected Medicaid coverage losses for 123,000 to 246,000 Arizonans by 2028.
- Scott Bessent is ‘sick of hearing about’ the K-shaped economy and declares it’s over—but the data would beg to disagree
Scott Bessent claims the K-shaped economy is over, asserting a C-shaped economy where lower-wage earners are catching up. However, data from the Federal Reserve Bank of Atlanta and analyses from Goldman Sachs and Morgan Stanley suggest wage growth disparities persist. Bessent credits the One Big Beautiful Bill Act for improving household finances, though its economic benefits may be offset by factors like gasoline price fluctuations.
- Trump departs for West Coast trip to promote economic agenda
President Donald Trump is traveling to the West Coast to promote his economic agenda, including tax cuts, through events in Los Angeles and Las Vegas. Democratic officials in Nevada criticize his policies, citing low economic approval ratings and temporary tax benefits, while the White House highlights opposition from Democrats to the tax reforms.
- Trump departs for West Coast trip to promote economic agenda
President Donald Trump is traveling to the West Coast to promote his economic agenda, including tax cuts, through events in Los Angeles and Las Vegas. Democratic officials in Nevada criticize the policies, citing concerns over their impact on families and businesses, while a White House spokesperson highlights the tax cuts' benefits.
- Florida Democrats press DeSantis administration for details about AI contract for SNAP
Florida Democrats are demanding transparency from the DeSantis administration regarding the use of artificial intelligence to reduce the state's high Supplemental Nutrition Assistance Program (SNAP) error rate. The state allocated $4 million for AI procurement to address errors that could require Florida to contribute up to $1 billion to SNAP under the One Big Beautiful Bill Act.
- Ron Johnson's handling of budget hearing rankles Dems
Democrats on the Budget Committee expressed frustration with Sen. Ron Johnson during a Medicaid hearing, as he rebutted their remarks. Johnson defended his approach as making hearings more informative, while Democrats criticized it as unusual. The discussion focused on Medicaid cuts and fraud.
- STAT+: The latest orphan drug exemptions may not be warranted, analysis finds
A new analysis questions the justification for expanded exemptions of orphan drugs from Medicare pricing negotiations under the Orphan Cures Act, which broadened protections for drugs with multiple rare disease indications. The law delays price negotiation timelines for these drugs, despite concerns they may not warrant such exemptions.
- AI Is Being Used to Boost Medicaid Enrollment, but Not Without Concerns
Kern Family Health Care in California uses an AI program named Angelica to assist Medi-Cal patients with enrollment renewals, reducing costs compared to hiring 40 full-time workers. The program, part of efforts to adapt to new Medicaid rules under the One Big Beautiful Bill Act signed by President Donald Trump, facilitates multilingual outreach and appointment scheduling for 387,000 members.
- Judge rejects states’ bid to block Medicaid work rules
Federal Judge Richard Stearns denied 25 states' request to block Medicaid work requirements, upholding a Jan 1 deadline set by Congress. The One Big Beautiful Bill Act mandates states to require Medicaid recipients to work or engage in activities for 80 hours monthly, with states arguing the new 'medically frail' exemption is too narrow.
- Judge rejects states’ bid to block Medicaid work rules
A federal judge denied 25 states' request to pause Medicaid work requirements, upholding a congressional mandate that requires Medicaid expansion states to impose 80-hour monthly work, education, or volunteer mandates for coverage. The states argued the rule's medical frailty exemptions were too narrow, but the judge ruled the January 1 deadline set by Congress must be met.
- Earlier Lifeline for Rural Hospitals Faces Test Under ‘Big Beautiful’ Law
Sturgis Hospital, a rural hospital in Michigan that converted to a federal emergency-focused model to stay open, closed in 2026 after declining emergency department use. The closure highlights concerns about the effectiveness of the Rural Emergency Hospital model under the One Big Beautiful Bill Act, which is expected to reduce Medicaid funding and strain rural healthcare facilities.
- Judge rejects states’ bid to block Medicaid work rules
A federal judge denied 25 states' request to block new Medicaid work requirements, enforcing a Jan. 1 deadline for implementation. The rule mandates Medicaid recipients in 42 states to work, attend school, or volunteer 80 hours monthly, with exemptions for those deemed 'medically frail' under federal guidance.
- Week Ahead in Washington: August 2
The Senate faces a busy agenda before the August recess, including a potential confirmation vote for Attorney General nominee Todd Blanche and internal party divisions involving John Cornyn and Tom Tillis. Efforts to block a proposed IRS settlement linked to former President Donald Trump and discussions about canceling recess to advance Trump’s 'Save America Act' are complicating proceedings. Jay Clayton will take over as Director of National Intelligence, and Trump is set to campaign in Nevada for the 'One Big Beautiful Bill Act'.
- Week Ahead in Washington: August 2
The Senate faces a busy agenda before the August recess, including a potential confirmation vote for Attorney General nominee Todd Blanche and internal party conflicts over Trump's proposed IRS settlement. Senate Majority Leader John Thune indicates the 'Save America Act' lacks sufficient support to pass, while Jay Clayton assumes the role of Director of National Intelligence. Trump is set to campaign in Nevada for the 'One Big Beautiful Bill Act,' with primary races ongoing in multiple states.
- Judge rejects states’ bid to block Medicaid work rules
A federal judge denied 25 Democratic-led states’ request to block Medicaid work requirements, requiring states to meet a Jan. 1 deadline. The rule mandates that Medicaid recipients in 42 states and the District of Columbia work, attend school, or volunteer 80 hours monthly to retain coverage, with states arguing the new exemptions for medically frail individuals are too narrow and costly.
- Judge rejects states’ bid to block Medicaid work rules
A federal judge denied 25 Democratic-led states' request to pause Medicaid work requirements, which mandate 80 hours of monthly work, education, or volunteering for Medicaid recipients. The ruling upholds a Jan. 1 deadline set by Congress for states to implement the requirements, part of the One Big Beautiful Bill Act.
- Judge rejects states’ bid to block Medicaid work rules
A federal judge denied 25 Democratic-led states' request to block Medicaid work requirements, upholding a January 1 deadline for implementation. The rule, part of a Trump-era law, mandates 80 hours of monthly work, education, or volunteering for Medicaid recipients in 42 states and D.C. The states argued the new 'medically frail' exemption is too narrow and would burden patients with severe illnesses.
- Judge rejects Pennsylvania and 24 other states’ bid to block Medicaid work rules
A federal judge denied 25 states' request to block Medicaid work requirements, requiring states to meet a Jan. 1 deadline to implement rules mandating 80 hours of monthly work, school, or volunteer activity for Medicaid coverage. The states argued new federal guidance narrowed exemptions for medically frail individuals, but the judge found no justification for halting the rule.
- Medicaid work rules move forward as judge denies bid from AZ, other states, to halt them
A federal judge denied a request from 25 Democratic-led states to pause new Medicaid work requirements, which mandate 80 hours of monthly work, education, or volunteering for coverage eligibility. The deadline for states to implement the rules remains January 1, as outlined in the One Big Beautiful Bill Act.
- Amid federal changes, advocates question the role of private insurers in Missouri Medicaid
Missouri's Medicaid program, which serves 1 million enrollees with 80% in private insurer-managed care plans, faces budget challenges due to a new federal law imposing penalties and mandates. Advocates argue direct state administration could save $259 million annually and protect benefits, while insurers claim their overhead funds essential care coordination.
- One Big Beautiful Bill cut healthcare funds. Now, Republicans have to sell the costs
The One Big Beautiful Bill Act cut federal healthcare funding, and Republican candidates who supported it are now using ads to promote themselves as advocates for lower costs. The act's funding reductions are a central focus of their campaign messaging.
- One Big Beautiful Bill cut healthcare funds. Now, Republicans have to sell the costs
The One Big Beautiful Bill Act cut healthcare funds, and Republican candidates who supported it are using ads to promote their stance on lowering costs.
- The Coming Food-Stamp Crisis
The Trump administration's policies have reduced SNAP enrollment by 6 million participants since 2024, with further cuts through the One Big Beautiful Bill Act projected to slash $186 billion in funding by 2034. The changes, including stricter eligibility rules and reduced benefits, are exacerbating food affordability challenges amid rising inflation and could force states to cover $9 billion in costs.
- Trump-aligned parents rally behind kids' online safety rules
Parents' rights groups aligned with the MAGA movement and socially conservative organizations are urging Congress to implement strict online safety rules for children, including legal requirements for technology companies to prevent harm. They emphasize a 'duty of care' framework and oppose preemption of state laws, as seen in their letter to Senators Ted Cruz and Maria Cantwell. The push comes amid broader efforts to address kids' safety in technology and negotiations over related legislation.
- Michigan Medicaid supporters mark 61st anniversary while warning about the impact of federal cuts
Michigan Medicaid supporters marked the 61st anniversary of the program's establishment while warning about federal changes imposing work requirements and reducing funding, which could threaten health coverage for 200,000 residents. The One Big Beautiful Bill Act, supported by President Donald Trump and congressional Republicans, includes restrictions and a projected $911 billion Medicaid funding cut between 2025 and 2034.
- US emissions reductions fall short of Biden-era goals
The US is projected to reduce greenhouse gas emissions by 27-41% below 2005 levels by 2040, missing Biden-era goals. A Rhodium Group report highlights that Trump-era policies may lead to natural gas and renewable power competing through the 2030s, limiting power sector emissions cuts. A Columbia University analysis found Trump's One Big Beautiful Bill Act preserved 74% of planned clean energy capacity compared to Biden's Inflation Reduction Act.
- Trump stumps for Andy Ogle’s reelection in tightening District 5 primary race
President Donald Trump endorsed U.S. Rep. Andy Ogles for reelection in Tennessee's 5th Congressional District during a tele-rally as his primary race against Charlie Hatcher tightens. The Freedom Caucus Fund, which has spent over $663,000 on ads supporting Ogles, co-sponsored the event. Ogles and Hatcher have raised significant funds, with Hatcher's campaign receiving additional support from an independent PAC.
- Millions sign up for Trump Accounts, but will employers also contribute?
Over 6.5 million families have enrolled in Trump Accounts, a U.S. children's savings program, but only 55 companies have committed to contributing on behalf of employees. Employers can contribute up to $2,500 annually tax-free, but many await Treasury guidance on operational details like payroll deductions and nondiscrimination rules.
- The Bronx secures $11.3M for Latino-serving nonprofits through state fund
The Bronx will receive $11.3 million from a $30 million state fund for Latino-serving nonprofits, supporting programs like workforce training, education, and immigrant services. The LUCHA Equity Fund, a coalition formed in 2024, secured the funding to address needs amid potential federal cuts under President Donald Trump's One Big Beautiful Bill Act.
- Bank of America, Chipotle, Dell, and Uber are chipping in on Trump Accounts for their workers’ kids—but most companies are sitting it out
Over 6.5 million families have enrolled in Trump Accounts since July 4, but most employers are not contributing to these savings accounts for employees' children. Bank of America, Chipotle, Dell, and Uber are among 55+ companies offering contributions, while many others await Treasury guidance on implementation. The One Big Beautiful Bill Act allows tax-free employer contributions up to $2,500 annually, but operational details remain unclear.
- Earlier lifeline for rural hospitals faces test under ‘Big Beautiful’ law
Sturgis Hospital in Michigan, which converted to a federal emergency-focused model to save rural hospitals, closed after three years, highlighting concerns about the model's effectiveness under the One Big Beautiful Bill Act. The law includes a $50 billion Rural Health Transformation Program but faces criticism for potentially disadvantaging rural hospitals amid expected Medicaid funding cuts.
- Raising state revenues is essential to protecting vital services for Michiganders
Michigan's FY 2026-2027 state budget lacks revenue-raising measures critical for protecting social safety net programs like Medicaid and SNAP amid federal funding cuts. The article highlights Michigan's low tax burden (38th nationally) and the Headlee Amendment's revenue cap, which could generate $14 billion for essential services if met.
- Tracking State Rural Health Transformation Plans
The $50 billion Rural Health Transformation program, part of the One Big Beautiful Bill Act, aims to expand rural healthcare access. States competed for first-year funding allocations, with New Jersey receiving $147 million and Texas $281 million. Public documents for each state are available for review.
- ‘Fighting for an affordable America’: Hakeem Jeffries unveils closing midterm pitch
Hakeem Jeffries emphasized 'affordability' as the core of his closing midterm pitch, highlighting access to jobs, housing, health care, education, and retirement. He outlined plans to lower costs by ending Trump-era tariffs, extending Affordable Care Act tax credits, and repealing the 'One Big Beautiful Bill Act.' The event in Pennsylvania's Lehigh Valley included Governor Josh Shapiro and House candidate Bob Brooks.