On July 4, President Trump signed the One Big Beautiful Bill Act into law marking one of the most consequential shifts in Medicaid and federal health policy since passage of the Affordable Care Act. At HSG, we believe our clients deserve straightforward insights to help navigate complex changes. Here’s what the law means and how it could affect your operations and strategy.

On May 22, 2025, the U.S. House of Representatives passed the budget reconciliation bill needed to advance health policy proposals that focus on Medicaid. 

In a white paper entitled CMS Innovation Center Strategy to Make America Healthy Again, a blog post, and an exclusive interview to Modern Healthcare, new CMMI director Abe Sutton detailed the new strategic vision for CMMI under President Trump. HSG unpacks it all for you & shares our first reactions.

CMS recently announced that it will no longer allow states to use Designated State Health Programs (DSHP) as a source of state match in their 1115 Medicaid Waivers. There has been lots of chatter this past week about what this means for state Medicaid programs–unfortunately, there has also been a lot of hyperbole and misinformation. Today, I hope to provide some clarity and perspective on this important topic.