HR1: One Big Beautiful Bill Act

HR1, or the “One Big Beautiful Bill Act” (OBBBA) is introducing strict work requirements that make health coverage inaccessible for millions across the US. These changes are about to ripple through Illinois’ healthcare system, affecting not just those who rely on Medicaid, but all of us.

As early as the end of 2026, there is a possibility that individuals will need to prove they are working or performing community service at least 80 hours per week in order to keep their Medicaid/Medicare. If these work requirements are implemented, every six months Illinoisans will have to renew their benefits by submitting documentation that verifies their work status or their community service hours. The increased administrative burden alone may cause many people to lose healthcare coverage simply because they can’t keep up with complex paperwork and frequent renewals. We know this because states like New Hampshire and Alaska have experimented with this before, and it has not worked. Anyone unable to meet these requirements could lose coverage entirely. 

Community health workers play a vital role in bridging gaps between systems and people. As administrative burdens increase, CHWs can help families understand and comply with new requirements, navigate renewals, and connect with the services that keep them healthy, such as housing, food, and cash assistance. They are also essential advocates in ensuring that the public understands what is happening and how to respond. Now is the time to strengthen CHW advocacy and policy training so this workforce can effectively speak up for the communities most affected by these changes.If you have any questions, please fill out this form: https://forms.gle/7PmxkTcMxhxwHuJz7