In this episode of the Sunlight Tax Podcast, I talk with Dr. Matthew Fiedler about the new One Big Beautiful Bill Act—and what it could mean for your healthcare and taxes.

We break down how the government shutdown affects healthcare access, why there are major Medicaid cuts, and what trade-offs come with the new tax cuts. The conversation highlights the challenges faced by low and moderate-income individuals in accessing healthcare, especially in light of new administrative requirements and potential loss of coverage.

We also talk about what this means if you're self-employed or run a small business. With shifting healthcare policies and tax laws, good bookkeeping and clear financial records matter more than ever.

Dr. Fiedler emphasizes the need for a more rational approach to healthcare financing and the importance of bookkeeping for self-employed individuals.

Also mentioned in this episode:

01:46 Understanding the One Big Beautiful Bill Act

03:07 Impact of Government Shutdown on Healthcare

08:05 Overview of Healthcare Provisions in the Bill

09:30 Trade-offs in Tax Cuts and Healthcare Funding

12:20 Medicaid Cuts and Work Requirements

16:00 Navigating Medicaid for the Recently Unemployed

20:16 Cost-Shifting from Federal to State Medicaid Programs

25:29 Consequences for Low and Moderate Income Individuals

28:18 Changes in Marketplace Coverage Requirements

30:38 Implications for Self-Employed Individuals

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Links:

Dr. Matthew Fiedler

Link to pre-order my book, Taxes for Humans: Simplify Your Taxes and Change the World When You're Self-Employed.

Link to pre-order my workbook, Taxes for Humans: The Workbook

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