H.R. 1 Assistance and Support

Navigate complex Medicaid changes with confidence. Expert guidance starts here.

Turning Policy Changes into Strategic Opportunities

H.R. 1 is reshaping Medicaid, and the rules being used for implementation are adding additional requirements. Together, they create compounding financial and operational impacts for hospitals, states, health plans, and stakeholders across the healthcare landscape.  

Sellers Dorsey has guided clients through transformative policy shifts for more than 25 years. Our team of former Medicaid Directors, financing strategists, and government affairs experts helps clients turn change into opportunity by providing policy clarity, strategic guidance, and actionable insights tailored to your organization. 

Adapt, Lead, and Thrive with Trusted Support

H.R. 1’s policies and the rules CMS uses to implement them are complex, from community engagement requirements and enrollment changes to supplemental payment limits and provider taxes. The effects build on one another, and every state responds differently. As your trusted partner, Sellers Dorsey helps you see the full picture and provides actionable strategies for support.

Our services include:

Policy Analysis & Strategy

Understand how H.R. 1 and CMS rules combine to affect your organization, and track state and federal developments as they evolve.

Operational Readiness

Align systems, processes, and teams with new compliance standards. Strengthen payer contract performance and pinpoint the tightest margins.

Financial Guidance & Optimization

Model your exposure to coverage loss and supplemental payment changes. Develop sustainable funding strategies that maximize available resources.

Government Affairs Support

Navigate state and federal dynamics with insights from former Medicaid leaders, from Section 1115 waiver design to federal, state, and local advocacy.

Implementation Support

Translate strategy into action with hands-on guidance at every stage.

Unify clinical, quality, and payer data with Constyn to deploy scalable, person-centered programs with full visibility into outcomes, care gaps, and financial impact.

Healthcare worker with hand on shoulder of male patient

Support for Essential Hospitals

Essential hospitals face the effects of H.R. 1 and CMS rules on several fronts at once. We help hospital leaders respond through three integrated workstreams:

Understanding the cumulative impact.

Institution-specific models quantify your exposure to coverage loss and changes to state directed payments, disproportionate share hospital payments, and provider taxes.

Tighten operations.

Contract optimization, service-line analysis, and payer performance scorecards help you protect margin and capture the full payment available to you.

Strengthen partnerships.

We help you work with states, health plans, and federal policymakers to preserve the support your hospital relies on.

The Risk Ready Hospital

Ready to make an impact?

Explore how Sellers Dorsey can help your organization navigate the compounding effects of H.R. 1.

Insights, Innovation, and Real Results

Explore our thought leadership including blogs, case studies, reports, webinars, and more.

Thought Leadership & Reports
RPI/AEH Issue Brief | A Guide for Essential Hosptials
From Policy to Practice: A Guide for Essential Hospitals Navigating the Compounding Effects of H.R. 1 and CMS Rulemaking
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News & Media
APHA 2026 | Katie Bueno & Rob Rotzin
Sellers Dorsey to Present at APHA Annual Meeting & Expo 2026
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News & Media
2026 TAHP | Session w/ Lisa Gifford
Sellers Dorsey to Present at 2026 TAHP Texas Covered Health Care Conference + Expo
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News & Media
PHA 2026 w/ Alex Shekhdar
Sellers Dorsey to Moderate Panel at Population Health Alliance Innovation and Adoption Summit 2026
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