Lexology January 14, 2026
The One Big Beautiful Bill Act (OBBBA), enacted in July 2025, is no longer a policy debate or a future concern. It is already changing how coverage works, how Medicaid dollars flow, and how much operational friction health systems will face over the next several years.
During J.P. Morgan Healthcare Conference week, Sheppard Mullin and Huron Consulting Group hosted an executive roundtable, convening health system and provider leaders to move past headlines and focus on a simple question: what does this law actually mean in practice? The answer is clear—this is not a narrow compliance exercise. It is a structural reset that requires early planning, disciplined sequencing, and board-level engagement.
Medicaid Eligibility and Financing Will Drive Churn and Operational Pressure
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