Health Affairs October 2, 2025
Editor’s Note
This article is the latest in the Health Affairs Forefront featured topic, “Health Policy at a Crossroads,” produced with the support of the Commonwealth Fund and the Robert Wood Johnson Foundation. Articles in this topic offer timely analyses of regulatory, legislative, and judicial developments in health policy under the Trump-Vance Administration and the 119th Congress. Health Affairs Forefront alone reviews all submissions then selects, edits, and publishes them only if they meet Forefront’s editorial standards.
The 2025 budget reconciliation package, H.R. 1, now the law of the land, makes drastic changes to our country’s health care system, particularly the Medicaid program that more than 70 million people rely upon. Much attention has been paid to the 10 million...







