Just after midnight on the morning of Aug. 7, President Trump’s sweeping “reciprocal” tariffs took effect on dozens of international trading partners, marking another dramatic escalation of the administration’s “America First” trading policy.
H.R.1 Implementation Timeline
President Trump signed H.R.1, Republicans’ “big, beautiful” reconciliation bill, into law on July 4, 2025. Starting from that date, the law lays out effective dates and implementation dates for its numerous health provisions over the next few years, and beyond.
The Trump Administration and, in some cases, the States are responsible for implementing the proposals passed in the bill. Read on for implementation and effective timeframes specified in the law.
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AMCP comments on Trump Administration demands for manufacturers to take action on Most-Favored-Nation pricing scheme
H.R. 1, or the Big Beautiful Bill, has brought substantial change to the managed care pharmacy landscape, particularly for managed care organizations (MCOs) with managed Medicaid lines of business.
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