Legislation passed by the Senate on Tuesday could affect how people sign up for Medicaid and the insurance marketplaces, and where they can get care.

With spending cuts poised to hit medical providers, Medicaid recipients and Affordable Care Act enrollees, here's how the bill will affect health care access for millions in the U.S.

Late in the evening of June 27, 2025, Senate Republicans released the full text of the latest version of the One Big Beautiful Bill Act ahead of a scheduled motion to proceed vote on June 28.