HR 1 (One Big Beautiful Bill Act, 2025)

Utah Medicaid rules are changing!

On July 4, 2025, H.R. 1, also known as the One Big Beautiful Bill Act (OBBBA), was signed into law. H.R. 1 changed the rules for how some Medicaid members qualify for and keep their Medicaid coverage.

These changes will mostly affect adults covered through Medicaid Expansion.
Some immigrant groups that used to be eligible for Medicaid may not be eligible anymore.
The new law also changed some Medicaid financing and program integrity requirements.

Many of the provisions will take effect beginning in late 2026 and will be implemented over several years.

Stay connected:

You can lose your Medicaid benefits if you don’t return forms or miss deadlines. To make sure your information is up-to-date or to update your information call:

A Medicaid health program representative at 1-866-608-9422
Your health plan
The Department of Workforce Services at 1-866-435-7414

Stay informed:

Check your mail, email, and text messages for official Medicaid program updates so you don’t miss important information or deadlines.

Each member’s coverage depends on their individual situation. Some people will lose coverage if they do not meet the new requirements for eligibility, citizenship, or community engagement. Medicaid is studying the new law and building tools to help affected Utahns. To support our members, we are:

Adding data sources to quickly and automatically check eligibility.
Increasing our outreach to help members succeed.

If you think you may be eligible for Medicaid or the Children’s Health Insurance Program (CHIP), you may apply at any time. Even if you’ve lost coverage in the past, you can reapply. If you have questions about applying for these programs, you can call 1-877-543-7669.