The One Big Beautiful Bill Act (OB3) introduces new requirements and more frequent eligibility renewals for Medicaid beneficiaries to start January 1, 2027. 

In this legislation, Congress authorized the HHS Secretary to grant a temporary exemption where a state demonstrates that it is making a good‑faith effort to comply with new federal requirements through December 31, 2028. This extension is time‑limited, discretionary, and intended for states facing systems, operational, or administrative barriers.

In recognition of the varying state system capabilities and procurement timelines and to promote a more durable and sustainable implementation of the OB3 requirements, Congress should encourage leniency in considering applications for these waivers from states to support the economic stability of physician practices and access to care for all patients.

Urge your lawmaker to protect Medicaid access today!