Authors: NCUIH

Publication Year: November 2025

Keywords: Health Care Access, Medicaid/Medicare, Social Determinants of Health (SDOH), SNAP, IHCIA

Abstract: 
On July 4, 2025, the President signed the One Big Beautiful Bill Act (OBBBA) into law. The OBBBA is a major bill that delivers many elements of President Trump’s legislative agenda, including new requirements for access to Medicaid and SNAP. Fortunately, Indians, Urban Indians, California Indians, and individuals determined eligible as an Indian for the Indian Health Service under regulations promulgated by the Secretary are exempted from the Medicaid requirements in the OBBBA and included in exemptions for the Supplemental Nutrition Assistance Program (SNAP) work requirements.

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Type of Resource: NCUIH products (infographs, urban data reports, etc..)