H.R. 1 and the Future of Medicaid: What Healthcare Providers Need to Know and Do Now

H.R. 1, the One Big Beautiful Bill Act, represents the largest restructuring of Medicaid in the program's 60-year history. New work requirements, more frequent eligibility checks and shorter retroactive coverage windows are projected to cause 7.5 to 8 million Americans to lose coverage by 2034, putting hospitals' patient coverage and revenue at growing risk.

This white paper examines what's changing under H.R. 1, how implementation varies by state, and what the changes mean for hospitals based on their size, payer mix and patient populations. It also outlines strategies for proactive patient outreach, eligibility management and revenue cycle protection to help mitigate financial exposure.

Losing coverage doesn't always mean losing eligibility. Patients may remain eligible for Medicaid but lose coverage because they're unaware of new requirements, struggle with documentation or miss critical deadlines. By identifying at-risk patients early and helping them navigate these changes, hospitals can protect coverage and reduce uncompensated care.

Download the white paper to learn what your organization needs to know and do now.