HR.1

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H. R. 1 The One Big Beautiful Bill Act
How Will These Federal Changes Affect Us and Our Communities?
The One Big Beautiful Bill doesn't impact just one part of life; it changes how our communities access the support they rely on every day.
Why Should We Care?
H.R. 1, also known as the One Big Beautiful Bill Act is a 2025 federal budget law that cuts nearly $1 trillion in federal healthcare spending over 10 years, reducing Medicaid and Affordable Care Act (ACA) support and shifting costs to states.
These changes won't happen overnight, but they will shape how California communities access health care, food, education, and economic opportunity for years to come. Many of the largest changes begin in 2027, making civic participation in the 2026 midterm election critical.
H.R. 1’s historic cuts to Medi-Cal could cause up to 2 million Californians to lose their health care, destabilizing the state’s health care system and worsening health and economic outcomes in every legislative district.
This looks like a $4.4 billion annual loss to California’s Public Health Care SystemsWhat Could This Look Like in Real Life?
These aren't predictions about one person; they're examples of how multiple policy changes can affect communities over time in multiple ways.
I’m Expecting
You're working full-time, covered by Medi-Cal, and preparing to welcome your baby! But in 2027, your nearest maternity unit closes, making labor and delivery farther away. Prenatal appointments become harder to schedule. Your appointments become delayed. Staying enrolled in Medi-Cal means more paperwork and more frequent eligibility renewals. As access to care becomes harder, so does getting the support you need before and after birth.
Most pregnancy-related deaths happen during the postpartum period, making postpartum care lifesaving, not optional, during one of the most vulnerable times of your life. For Black women, when access to care becomes more difficult, existing inequities will grow wider!
This isn't just about health insurance. It's about protecting the community infrastructure that helps mothers, babies, and families thrive.
Why this matters →I’m Going to College
You’re a full-time California Community College student, living at home, working 25 hours a week, and rely on a Pell Grant to help pay for school. Today, graduation feels within reach! Between work, classes, and financial aid, you’re balancing a lot, but making it happen.
But in 2027, changes to federal student aid could mean less financial support and more restrictive student loan options for education. To afford tuition and living expenses, you may have to work more hours, reduce my course load, or take on additional debt. Will students be able to stay enrolled? Can parents return to school? Can workforce training continue?
Graduation isn't canceled. . . it just moves further away.
Education isn't just about college. It's about economic mobility for entire communities.
Learn More →I Work Every Day
A childcare provider. A partner. A mom of two. A daughter caring for aging parents.
Every month, your family stretches your paychecks as far as it will go, but groceries cost more, rent keeps rising, utility bills are higher, and student loan payments are back. Now, health insurance premiums are climbing too.
Due to H.R. 1, Covered California premiums increased an average of 10.3% in 2026. More than 160,000 Californians earning over $62,600 are losing enhanced federal tax credits that previously saved them an average of $502 per month on health insurance.
No amount of budgeting can help working families afford an increase in bills, with a decrease in benefits. When families are forced to choose between groceries, rent, and a doctor's appointment, the consequences extend beyond individual households. Entire communities become less healthy, less financially secure, and more vulnerable.
Learn More →I’m an Older Adult or Caring for Someone who is over 70+
For more than 40 years, she has been a cornerstone of her community.
She receives Social Security, relies on CalFresh to help keep nutritious food on the table, and uses Medi-Cal for the health care and ACCESS transportation to help her remain independent. Today, she visits her doctor regularly. She buys fresh vegetables at the market. She takes walks with her grandchild and enjoys the life she has built.
Beginning in 2027…staying healthy becomes harder. She receives more frequent notices requiring her to verify her eligibility. The paperwork is confusing. The deadlines are easy to miss. One missed form means her benefits are delayed.
The refrigerator gets emptier. Her grandchild has to take time off work, not to provide care, but to help navigate a system that has become harder to access. The issue isn't that she stopped qualifying, just that staying enrolled became more difficult.
What happens when every support someone relies on requires more time, more paperwork, and more proof that they deserve access?
For older adults, access to health care and nutritious food is not a luxury—it is what allows them to remain healthy, independent, and connected to their communities.
Learn More →HR.1 Frequently Asked Questions
Understand the legislation, who it impacts, and what changes lie ahead over the next decade.
What is HR.1?
HR.1 is a sweeping legislative package carrying major policy shifts that directly affect federal safety-net programs, funding structures, and public resources across the country.
Who does it impact?
The legislation impacts low-income individuals, families relying on federal assistance, healthcare recipients, and communities dependent on publicly funded support systems.
How does it affect people with and without Medicaid?
For those on Medicaid, new administrative hurdles, eligibility shifts, and potential coverage rollbacks threaten access. For those without Medicaid, strained community health clinics and shifting state budgets create a wider ripple effect on regional healthcare availability.
What does it mean for Californians?
California faces unique adjustments as state-level programs intersect with federal funding cuts. Protecting local infrastructure and informing residents early is critical to mitigating the state-wide fallout.
What programs are affected?
Affected safety-net pillars include Medicaid, SNAP (Supplemental Nutrition Assistance Program), and other critical federal support initiatives.
What does the implementation timeline look like?
While some policy changes take effect immediately, major operational shifts are structured to roll out progressively following the midterm elections and deep into 2027 and beyond.
Take Action & Get Involved
Empower yourself and our community with the tools to push back against HR.1.
BWW Voter Guide
Access our comprehensive voting resources to make informed decisions at the ballot box.
View Voter GuideFind Your Representative
Connect directly with your elected officials to hold them accountable and make your voice heard.
Find RepresentativeCivics 101 Series (Save The Date)
Join our 5-part series launching this September. Sign up now while final dates are being confirmed.
Save Your SpotHost a House Party
Gather your community with our Fierce Aunties network to discuss legislation and organize locally.
Learn MoreFighting Back & Safeguarding Our Future
Communities across California and the nation are organizing, advocating, and building protections to mitigate the impacts of HR.1.
State Policy & Legislative Guardrails
California continues to leverage state-level policy tools to preserve healthcare access, reinforce safety-net funding, and shield residents from federal administrative rollbacks.
- State budgetary allocations to cushion federal funding shortfalls in Medicaid.
- Legislative efforts reinforcing civil rights protections for social service applicants.
- Proactive policy briefs tracking rollout timelines to prepare community providers.
Coalitions & Allied Organizations
Black Women for Wellness is proud to stand alongside leading advocacy groups, healthcare equity networks, and legal defense funds dedicated to community protection.
- Reproductive Justice Coalitions: Uniting community organizations across state lines to share resources and defense strategies.
- Healthcare Equity Groups: Organizing direct outreach and enrollment assistance for impacted families.
- Legal Defense & Policy Allies: Monitoring federal compliance and litigating harmful policy rollouts.
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