Becker's Healthcare December 10, 2025
Jakob Emerson

The One Big Beautiful Bill Act will bring sweeping changes to Medicaid beginning in 2027, while enhanced ACA premium tax credits are set to expire at the end of this year, creating uncertainty for millions of enrollees.

California stands to be among the hardest hit, with the state having the nation’s largest Medicaid program and operating state-funded coverage programs for immigrants regardless of documentation status.

Blue Shield of California’s Chief Growth Officer, Ellen Sexton, joined the Becker’s Payer Issues Podcast to share how the nonprofit health plan is preparing for these policy shifts. Below is an excerpt from the conversation, which will air later this month.

Question: What immediate and long-term impacts are you considering for Medicaid members following the...

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Topics: ACA (Affordable Care Act), Insurance, Medicaid, Payer
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