If you missed the recent leadership retreat (see The 2026 OPEN MINDS Executive Leadership Retreat), you missed a great session, Whole Person Care In Action: Mercy Care’s Blueprint For The Future of Integrated Care, featuring Tad Gary, Chief Executive Officer of Mercy Care, an Arizona-based, not-for-profit managed care organization.

Among my many questions, I asked what keeps him up at night. He was quick to answer: the operational impacts of H.R.1 on Medicaid eligibility and the long-term sustainability of provider organizations serving vulnerable populations.

Health and human service executives across the country share that concern. On October 1, hundreds of thousands of legal immigrants lost their federal Medicaid and Children’s Health Insurance Program eligibility due…