Major Changes to US Taxes and Healthcare Take Effect in 2026

Significant Changes in US Tax and Healthcare Systems

Starting in 2026, residents of the United States are bracing for important changes to the tax code, healthcare system, and government benefits. This adjustment is due to the implementation of provisions from the tax and spending package signed by President Donald Trump.

The package, known as the "One Big Beautiful Bill Act (OBBBA)", was adopted in July amid political controversy. Fiscal conservatives and critics from the left have voiced concerns that the proposed changes could leave millions of citizens without health insurance or food assistance.

Among the most significant changes is the elimination of health insurance subsidies provided by the Affordable Care Act (ACA), which are set to expire soon. Without these subsidies, the first to suffer will be those who purchase insurance through the ACA marketplace, where prices are expected to rise significantly.

Another controversial aspect is the introduction of new work requirements to qualify for the Supplemental Nutrition Assistance Program (SNAP), which will mandate that able-bodied individuals work a minimum of 80 hours per month. These measures will take effect on January 1, 2026, targeting new applicants and those renewing their benefits.

Regarding taxes, OBBBA will make permanent some tax cuts enacted in 2017, particularly benefiting high-income households. Additionally, the cap on deductions for income and property taxes will increase, thereby benefiting residents in high-tax states.

Moreover, the package will introduce an estate tax exemption for amounts up to $15 million for individuals and $30 million for couples, which critics argue will facilitate significant wealth transfers without taxation.

However, these controversial measures do not stop there. In 2026, parents will be able to benefit from tax credits for childcare expenses, while some employees will enjoy tax exemptions related to tips and overtime. Yet, some experts warn that these measures do not address the fundamental issues related to the low income of workers.