The One Big Beautiful Bill Act (OBBBA) is set to significantly reshape the Medicaid landscape through 2034, introducing $911 billion in net federal spending cuts and new mandatory 80-hour monthly work requirements that could impact eligibility for millions. With states now required to conduct eligibility checks every six months and a declining "safe harbor" tax cap squeezing reimbursement rates, nearly 45% of home care leaders anticipate these changes will create substantial hurdles for agency growth and caregiver retention. As the industry faces these shifting policy tides, diversifying revenue streams—such as leaning into expanded VA billing under the Elizabeth Dole Act—and leveraging administrative automation will be essential for agencies to maintain stability and continue providing high-quality care to those who need it most. 📞 Call now for a FREE consultation: (219) 706-9090.
