The One Big Beautiful Bill Act sounds grand, but what’s behind the flashy name? In this episode, Drs. Alicia and Stephanie Rolin break down the sweeping healthcare changes hidden inside the bill. From Medicaid block grants and work requirements, to cuts in protections for gender-affirming care and undocumented immigrants, and major rollbacks to the Affordable Care Act, this bill could reshape millions of Americans’ access to care.

Recorded on 6/30, this episode reflects the bill’s status as of that date. Changes are expected as the bill moves between the Senate and House.

This is not intended to be medical advice, and the content is solely the responsibility of the authors and does not necessarily represent the official views of their employers or funders.

(An earlier version of this episode misstated the name of the OBBBA; hope ...