How is Trump’s Big Beautiful Bill changing US taxes and healthcare in 2026?

Al JazeeraEN 6 min read 100% complete by Andy HirschfeldDecember 31, 2025 at 05:19 PM
How is Trump’s Big Beautiful Bill changing US taxes and healthcare in 2026?

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Starting in 2026, the United States will see significant changes to its tax code, healthcare system, and government benefits due to the One Big Beautiful Bill Act (OBBBA), signed into law in July 2025. This bill, a signature achievement of President Trump, includes the permanent adoption of the 2017 tax cuts and policies incentivizing fossil fuel production. Critically, the OBBBA did not extend COVID-era healthcare subsidies, leading to concerns that Affordable Care Act (ACA) premiums will increase. The expiration of these subsidies and new requirements for food assistance are expected to impact millions of Americans. The bill passed amid bipartisan opposition, with fiscal conservatives worried about the deficit and liberals concerned about access to healthcare and food assistance.

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one big beautiful bill act 100% healthcare subsidies 90% tax code 80% healthcare system 80% affordable care act 70% government benefits 70% food assistance 70% health insurance premiums 60% tax cuts 60% us national debt 50%

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