Three Major Health Care Policy Issues to Watch in 2026: Drug Prices, Medicaid, and PBMs

Tuesday, 30 December 2025, 01:35

Three major health care policy issues to watch in 2026 include drug prices, Medicaid, and healthcare impacts on public health. As US policies unfold, understanding these factors becomes crucial for stakeholders. This article explores the implications of these decisions on pharmaceuticals and health insurance.
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Three Major Health Care Policy Issues to Watch in 2026: Drug Prices, Medicaid, and PBMs

Three Major Health Care Policy Issues to Watch in 2026

Three major health care policy issues to watch in 2026 include drug prices, Medicaid, and healthcare influences on public health. The tax law cuts, exceeding $1 trillion from health insurance spending over a decade, primarily target Medicaid to finance the anticipated $4.5 trillion cost of tax cuts as reported by nonpartisan studies.

Impact of Drug Prices on Pharmaceuticals

Monitoring drug prices plays a pivotal role in shaping health policy. As inflation pressures mount, the affordability of medications remains a critical concern for the government and patients. Understanding how pricing strategies affect pharmaceutical accessibility will be key in the upcoming years.

Medicaid and Health Insurance Dynamics

  • Medicaid reforms will significantly alter eligibility and coverage options.
  • Changes in health insurance policies may lead to increased uninsured rates.
  • The role of PBMs is more important than ever in addressing cost management.

Public Health and Policy Implications

As these policy shifts unfold, assessing their impact on overall public health will be vital. Policymakers are urged to consider how changes in Medicaid and drug prices will affect vulnerable populations.


This article was prepared using information from open sources in accordance with the principles of Ethical Policy. The editorial team is not responsible for absolute accuracy, as it relies on data from the sources referenced.


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