IDEALS @ University of Illinois Urbana-Champaign
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Fiscal Implications for Illinois of the Medicaid Provisions in the One Big Beautiful Bill Act
Medicaid is the largest health insurance program in the United States and, in Illinois, covered roughly 3.3 million people while accounting for 30.1% of total state spending in 2025 (Merriman, 2026). The One Big Beautiful Bill Act of 2025 (OBBBA; Public Law 119-21) enacts the most consequential fede
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