Inside the “One Big, Beautiful Bill”: Health Law Impacts Beyond the Headlines

In this episode of Voices in Health Law, host Ramana Rameswaran sits down with policy experts Miranda Franco and Jordan Brossi of Holland & Knight to unpack the sweeping health provisions of H.R. 1—known as the “One Big, Beautiful Bill.” The conversation explores underreported aspects of the legislation, including new restrictions on ACA subsidies, Medicare physician payment updates, orphan drug exemptions, and major workforce implications tied to student loan changes. The guests also highlight what was left on the cutting-room floor, such as PBM reform and gender-affirming care provisions, and share their perspectives on how implementation and ongoing negotiations in Congress could reshape the health law landscape in the months ahead.