Title
Update on the One Big Beautiful Bill Act
Action
ACTION:
1) Receive as information a presentation on the One Big Beautiful Bill Act and the implications for Medicaid and the Supplemental Nutrition Assistance Program (SNAP).
Staff Contact: Robert Nesbit, Consolidated Human Services Agency, Chief of Staff
Lisette Nimmons, Intergovernmental Affairs Manager
Presentation: Yes
BACKGROUND/JUSTIFICATION:
On July 4, 2025, President Trump signed into law the One Big Beautiful Bill Act (OBBBA), federal legislation with significant implications for Mecklenburg County’s Health and Human Services programs. The legislation creates considerable risks for core safety net services, particularly Medicaid and SNAP.
This presentation will provide:
• A brief overview of OBBBA.
• An outline of the major policy changes affecting Medicaid and SNAP, including effective dates.
• Projections of the budgetary impact to Mecklenburg County and estimates of the number of county residents who may lose benefits.
The presentation will conclude with recommended next steps, including convening partners to coordinate a community response, monitoring data on program enrollment and utilization, and advancing advocacy efforts to mitigate negative impacts where possible.
PROCUREMENT BACKGROUND:
N/A
POLICY IMPACT:
N/A
FISCAL IMPACT:
N/A