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.

Illinois' 2025 Medicaid funding cuts threaten healthcare access for low-income residents across the state, especially in Chicagoland. Nonprofits and clinics warn of reduced services, longer wait times, and fewer care options as the state scales back support for providers and enrollment programs.

As of January 1, 2025, Illinois has enacted major health insurance reforms, including a ban on short-term "junk" plans, mandated hearing aid coverage for all ages, and a $60 cap on EpiPen costs. These changes aim to improve coverage quality and affordability for residents, especially in Chicagoland.