In mid-2025, Congress passed the One Big Beautiful Bill Act (OBBBA)—a sweeping reconciliation package that, while extending some tax cuts, also tightens eligibility for key health programs. According to the Congressional Budget Office, it could result in 10.9 million additional uninsured Americans—including many in Illinois—by introducing stricter work requirements, rolling back marketplace subsidies, and altering Medicaid and CHIP funding.

Illinois' 2025 ACA open enrollment period is now live, offering expanded subsidies, more insurance carriers, and stronger consumer protections through Get Covered Illinois. From freelancers to recently unemployed residents, thousands in Chicagoland can now access quality, affordable health coverage.