January 5, 2026
Article: Notable Healthcare Policies Taking Effect in 2026
A wave of federal and state healthcare policies is set to take effect in 2026, bringing major changes to hospital operations, reimbursement, insurance markets and patient access.
From the expiration of enhanced ACA subsidies to CMS’ expansion of site-neutral payments, tightened prior authorization rules and the first round of Medicare Drug negotiations, 2026 will test how well the healthcare sector adapts to a fast-shifting regulatory landscape under the Trump administration.
Simultaneously, state governments are rolling out new mandates – from insulin copay caps and AI guardrails to expanded coverage requirements and immigrant protections – that will have a notable effect on hospitals, payers and patients in certain markets.
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