Episode 165: How the One Big Beautiful Bill Act Affects Physicians

In this timely episode, Dr. Elisa Chiang breaks down the One Big Beautiful Bill Act, signed into law on July 4, 2025, and what it means for physicians. With over 800 pages of legislation, this sweeping law has far-reaching implications for taxes, healthcare funding, student loans, and energy incentives. Dr. Chiang highlights the key takeaways—both positive and negative—for physicians, medical students, practice owners, and anyone working in healthcare.

What You'll Learn:

• How the bill permanently lowers marginal tax rates and benefits high-earning physicians
• What the new 100% bonus depreciation rules mean for real estate investors and practice owners
• How the $50 billion Rural Health Fund could impact rural clinicians and hospitals
• Changes to Medicare, Medicaid, and ACA coverage—and what they mean for your patient panels and uncompensated care
• Why the reduction in the Medicaid provider tax will shrink state funding and affect reimbursement
• The new caps on federal student loans and how they may worsen the physician shortage
• Major changes to Public Service Loan Forgiveness (PSLF) and which repayment plans still qualify
• A timeline of expiring clean energy credits for solar, EVs, and home efficiency upgrades

Key Dates to Know:

• July 1, 2026: New cap on federal student loans begins
• July 1, 2028: Deadline for existing borrowers to switch to RAP or IBR for PSLF
• September 30, 2025: EV purchase credits expire
• December 31, 2025: Last day to claim credits for solar panels, energy-efficient windows, and heat pumps
• June 30, 2026: EV charger tax credit expires

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Dr. Elisa Chiang is a physician and money coach who helps other doctors reach their financial goals by mastering their money mindset through personalized 1:1 coaching .

You can learn more about Elisa at her website or follow her on social media.

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