Bracing for Redetermination: 4 Steps to Take Before H.R.1 Takes Effect

Starting January 1, 2027, the nation’s largest payer of behavioral health services faces the steepest funding cut in its history. H.R.1 will slash over $900 billion from federal Medicaid spending over the next decade, largely as a result of administrative attrition.

H.R.1’s cuts to Medicaid will cause millions of the nation’s most vulnerable to lose their health coverage. It will also threaten the solvency of safety-net clinics, forcing them to shoulder the cost of uncompensated care for people with nowhere else to turn.

That’s why we created Bracing for Redetermination—a step-by-step playbook to help behavioral health organizations calculate their revenue at risk and implement processes to protect it.