Health Care Reform: Congress Upends Status Quo with One Big Beautiful Bill Act

On July 4, President Trump signed the One Big Beautiful Bill Act (OBBBA), extending tax cuts introduced by the 2017 Tax Cuts and Jobs Act that would have otherwise expired and reforming health and welfare programs. Supporters hail it as the dawn of a new economic boom. Critics call it fiscally reckless. However, the true significance of OBBBA lies not just in its contents but also in the precedent it sets.

For the first time in decades, the interests of patients prevailed over the entrenched power of health care special interests. That breakthrough, more than any budgetary line item, may be what defines the future of American health care.

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Gregg Girvan

Gregg Girvan is a resident fellow for health care at the Foundation for Research on Equal Opportunity.

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On July 4, President Trump signed the One Big Beautiful Bill Act (OBBBA), extending tax cuts introduced by the 2017 Tax Cuts and Jobs Act that would have otherwise expired and reforming health and welfare programs. Supporters hail it as the dawn of a new economic boom. Critics call it fiscally reckless. However, the true significance of OBBBA lies not just in its contents but also in the precedent it sets.

For the first time in decades, the interests of patients prevailed over the entrenched power of health care special interests. That breakthrough, more than any budgetary line item, may be what defines the future of American health care.