Congress Delivers One Big Beautiful Bill—But What Was Left on the Cutting Room Floor?

A sweeping legislative package, dubbed the “One Big Beautiful Bill,” was recently signed into law–but several high-impact health care priorities were left out along the way. This policy analysis explores which provisions were excluded from the final legislation, including Medicare provider status for pharmacists, permanent telehealth flexibilities, and comprehensive PBM reform. Davitian examines why these elements were dropped, the legislative dynamics that shaped the final package, and what it may take for these issues to regain momentum in future policymaking efforts.