White Papers

Executive Summary

The One Big Beautiful Bill Act (BBB), signed into law in July 2025, rewrites large portions of the Medicaid statute. It slashes $1 trillion from federal Medicaid spending over ten years, imposes six‑month recertification and work‑reporting rules, and introduces steep fiscal penalties for documentation errors.[1][2] These shifts place Intellectual & Developmental Disabilities (I/DD) providers at acute risk of coverage lapses, audits, and civil fines.
Medicaid Shield™ is BridgePoint Advocacy’s eight‑module, micro‑learning curriculum that equips front‑line staff and administrators to stay audit‑ready, prevent coverage gaps, and safeguard medically frail adults in 24‑hour homes.