One Big Beautiful Bill Act and Healthcare: Medicare, Medicaid, and ACA Impact; Navigating New Requirements
Repealing Biden-Era Regulations, Narrowing Immigrant Eligibility, Tax and Enrollment Implications

Course Details
- smart_display Format
Live Online with Live Q&A
- signal_cellular_alt Difficulty Level
Intermediate
- work Practice Area
Health
- event Date
Thursday, September 25, 2025
- schedule Time
1:00 p.m. ET./10:00 a.m. PT
- timer Program Length
90 minutes
-
This 90-minute webinar is eligible in most states for 1.5 CLE credits.
This CLE webinar will provide an overview of the recently passed One Big Beautiful Bill Act (OBBBA) and notable provisions aimed at the healthcare industry—specifically related to Medicaid, Medicare, and the Affordable Care Act (ACA). The panel will also discuss the potential impact on the healthcare industry, address any current legal challenges to healthcare provisions, and offer best practices for helping clients navigate the new requirements.
Faculty

Ms. Castles advises clients on complex health care and life science regulatory compliance issues in transactions, investigations, and litigation matters, including issues that are international in scope, relate to significant regulatory enforcement, and present potential reputational concerns. She helps clients implement response strategies for novel and emerging public health threats, including COVID-19. She assists clients in developing specialized testing, front line support services, and digital health initiatives, including needed regulatory waiver strategies and impact on corporate practice of medicine, HIPAA/HITECH, and other state and federal regulations and guidance. Ms. Castles assisted clients in obtaining first-of-its-kind "hospital without walls" waivers from CMS (Centers for Medicare & Medicaid Services). She also advises clients on health reform strategies that include assistance with CMMI (Center for Medicare and Medicaid Innovation) pilot program participation and value-based and risk-based payment arrangements.
Description
After months of negotiation, the Trump administration's sweeping OBBBA was recently passed, containing provisions that will significantly affect the healthcare industry—most notably Medicaid, Medicare, and the ACA.
Medicaid will be significantly impacted by provisions that were included for the stated purposes of reducing fraud and improving enrollment processes, preventing wasteful spending, stopping abusive financing practices, increasing personal accountability, and expanding access to care. Some of these provisions include repealing Biden-era eligibility regulations and nursing home staffing regulations, implementing work requirements, sunsetting the American Rescue Plan's temporary Federal Medical Assistance Percentage (FMAP) increase, and limiting state taxes on providers.
Related to Medicare, the OBBBA contains provisions reducing the number of immigrants who will qualify for coverage, updating the Medicare Physician Fee Schedule conversion factor, and expanding the drugs exempt from the Medicare Drug Negotiation Program.
Provisions targeting the ACA include limiting refundable tax credits to undocumented and certain lawfully present immigrants and eliminating auto reenrollment and provisional enrollment for customers beginning with tax year 2028.
Listen as our expert panel provides an overview of the OBBBA's notable provisions related to Medicare, Medicaid, and the ACA and discusses the potential impact on the healthcare industry. The panel will also offer best practices for guiding clients through expansive new requirements.
Outline
I. Introduction: OBBBA history overview
II. OBBBA's focus on healthcare
A. Medicaid provisions and potential impact
B. Medicare provisions and potential impact
C. ACA provisions and potential impact
D. Other health-related provisions
III. Status of current OBBBA legal challenges pertaining to healthcare-related provisions
IV. Best practices for assisting clients with new requirements
V. Practitioner takeaways
Benefits
The panel will review these and other key issues:
- What OBBBA provisions are aimed at Medicare? What is the potential impact on the healthcare industry?
- What provisions contain new Medicaid requirements with what potential impact on the healthcare industry?
- How will the ACA be impacted by OBBBA provisions, and what is the potential impact on healthcare?
- What is the status of current legal challenges to the OBBBA pertaining to healthcare-related provisions?
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