Significant changes to Medicaid were enacted as part of H.R. 1, known generally as the “Big Beautiful Bill” (BBB). Health care providers and hospital associations, states, and other stakeholders interested in preserving access to care for Medicaid enrollees through reasonable reimbursement rates will be interested in this overview by Dentons’ national Medicaid experts of the Medicaid financing and reimbursement changes included in the BBB.