- Medicare Savings Program (MSP) eligibility and enrollment, making it easier for Medicare recipients to enroll in MSPs
- Medicaid, CHIP, and the Basic Health Program prohibition, making enrollment easier for Medicare recipients
- Staffing standards for long-term care facilities until September 2034
Potential Impact — Reduced money for Medicaid expansion states to fund their share of Medicaid payments.
CMS released Rural Health Transformation Fund (RHT) Program applications. It will be holding webinars in September and October. See its Rural Health Transformation (RHT) Program page for details.
Tip: Be in contact with state leadership and your rural health association to ensure your needs are heard.
Potential Impact — Reduction in ACA enrollees.
Potential Impact — Reduction in Medicaid enrollees.
Potential Impact — May increase access to ACA plans.
Potential Impact — States not becoming expansion states and continued strain on healthcare to foot the cost of uncompensated care.
Potential Impact — Fewer people may enroll leading to reduced visits or an increase in uncompensated care as people lose access to coverage.
Potential Impact — It’s unclear if people will take advantage of this change or have the funds to do so considering the end of ACA premium tax credits.
- Anyone disenrolled or denied Medicaid
- Low-income, lawfully present immigrants with incomes less than 100% of the federal poverty level
- Low-income special enrollment period enrollees
Potential Impact — Reduced visits or an increase in uncompensated care as people lose access to ACA plans.
Potential Impact — Some short-term relief from ongoing reimbursement challenges.
Scheduled to begin around January 22.
Potential Impact — May lead to automatic cuts to Medicare of roughly $500 billion from 2026 to 2034 and $45 billion in 2026 alone and lead to reduced reimbursements to providers.
Potential Impact — Reduced visits or an increase in uncompensated care as people lose access to coverage.
Potential Impact — Reduced compensation for care services for affected populations.
Adults 19 to 64 must work, do community service, or receive education for 80 hours a month to be eligible for Medicaid. States with approved Section 1115 waivers may start earlier. One-time compliance exemptions may also let some states delay until December 31, 2028.
Potential Impact — Reduced visits or an increase in uncompensated care as people lose access to coverage.
Potential Impact — An end to short-term relief from ongoing reimbursement challenges.
Potential Impact —Reduced visits or an increase in uncompensated care as people lose access to coverage.
Potential Impact — Reduced visits or an increase in uncompensated care as people lose access to coverage.
Potential Impact — Reduced visits or an increase in uncompensated care as people lose access to coverage.
Potential Impact — Reduced visits or an increase in uncompensated care as people lose access to coverage.
Potential Impact —Reduced visits or an increase in uncompensated care as people lose access to coverage.
Potential Impact — Expansion states may have to cut services, reduce provider reimbursements, raise taxes in other areas, and/or find innovative solutions to fund their portion of Medicaid.
Potential Impact — May lead to higher Medicare and patient out-of-pocket costs that reduce visits or treatment options.
Potential Impact — Reduced money for Medicaid expansion states to fund their share of Medicaid payments.
Potential Impact — Reduced visits or an increase in uncompensated care as people face barriers to coverage.
Potential Impact — May increase access to preventive care services, keep care local, and increase patient options.
Excludes primary care, behavioral health and services at FQHCs, RHCs, and CCBHCs.
Potential Impact — While FQHCs, RHCs, and CCBHCs are exempt, REHs and rural health systems may see reduced visits or an increase in uncompensated care as people face barriers to pay for their care.
Discover the OBBBA and RHT Program Resource Center