The Federal Budget Act and Health Coverage for Illinois’ Low-Income Older Adults and Adults with Disabilities
On July 4, 2025, President Trump signed federal budget legislation (the "One Big Beautiful Bill Act," or OBBBA) that will bring sweeping changes to publicly funded health programs over the next ten years. In addition to direct loss of insurance coverage, the Act uses several strategies to shift Medicaid costs from the federal to the state level and limits the ability of state governments to raise additional revenue in response. The Illinois Department of Healthcare and Family Services estimates that as many as 330,000 residents will become uninsured and the state could lose $52 Billion in federal funding over ten years.
Avisery has issued a new brief that explains how the direct impact of OBBBA on low-income older adults and adults with disabilities in Illinois will depend on an individual's specific type of insurance coverage and the timeline for implementation of key provisions. A table summarizing the analysis accompanies the brief.
Both of these resources contain information available to us as of 7.30.2025. Avisery will provide regular updates on any new federal and or state policy changes stemming from this legislation. Please share this Avisery alert with interested colleagues and encourage them to sign up for our mailing list to stay abreast of any new developments.
Note that the legislation also makes significant changes to the operation of Marketplace plans which is not discussed in the Avisery brief. See this link for further information on Marketplace changes.
