What’s Changing Under the One Big Beautiful Bill Act

As the One Big Beautiful Bill Act (OBBBA) transitions from legislation to implementation, agencies and vendors face a period of significant operational recalibration. While headlines focus on budgetary shifts, the real work begins at the intersection of policy and practice—where compliance, technology, and service delivery converge.

Briljent has supported state agencies and vendor partners through successive waves of federal reform, from the HITECH Act to the Public Health Emergency Unwinding. We know that change of this scale demands not just awareness but strategic adaptation.

OBBBA introduces sweeping changes across Medicaid, SNAP, ACA Marketplaces, and TANF. These include stricter eligibility verification, new work requirements, enhanced call center reporting, and evolving interoperability mandates. These shifts ripple across systems, affecting workflows, training, integrations, and communications.

Several trends are already clear:

• States operating ACA Marketplaces will face tighter enrollment oversight and reporting expectations.
• Medicaid and SNAP administrators must prepare for stricter compliance and shifting funding mechanisms.
• Technology vendors will see increased demand for modular, interoperable solutions aligned with federal certification timelines.
• Navigating these changes requires coordination across teams, tools, and timelines.

How Briljent Supports Implementation Partners

Briljent supports partners by translating complexity into actionable clarity. Our services include:

• Modular, just-in-time training for eligibility workers, call center agents, and navigators.
• AI-enabled microlearning tools like Qstream to reinforce policy understanding in real time.
• Change management and project management to guide smooth transitions.
• Staff augmentation to meet surge demands in call centers, redeterminations, and system testing.
• Technical assistance for Marketplace and Medicaid modernization, including interoperability and EHR certification.

Our Health Strategy & Innovation team brings lived experience from within Medicaid agencies, grounding every engagement in real-world insight. Whether supporting system upgrades or public-facing education, we meet our clients where they are and walk with them through the work.

Ready for What Comes Next

With CMS guidance forthcoming and implementation timelines approaching, Briljent is ready to help agencies and vendors prepare. We turn disruption into opportunity—strengthening teams, improving outcomes, and navigating change with confidence.

Let’s connect at MESC in Milwaukee! You can find us in the Exhibit Hall at booth number 315!

If your team is beginning to plan for the One Big Beautiful Bill Act, we’d love to strategize with you. Bring your questions! We’re ready to collaborate on practical, people-centered approaches that make your OBBBA response thoughtful, effective, and future-ready.