Impact of ‘big, beautiful bill’ to advisors may be a shift in client behavior

The sweeping federal budget legislation dubbed the “big, beautiful bill” by its backers is sparking sharp debate over its potential impact. While the insurance and investment management sectors were spared direct hits in some areas, major changes to Medicaid and ACA subsidies could ripple through the broader financial ecosystem—and eventually touch retirement and wealth planning professionals.

The bill sidesteps significant changes to retirement products, annuities, or the way financial advisors do business. But a closer examination shows the effects could be more far-reaching—especially for health insurers, hospitals, and even wealth advisors who may see a shift in client behavior.

“Interestingly enough, the version of the bill that narrowly escaped out from the House of Representatives does not have any major implications for the retirement planning or annuity industries,” said Ryan Brown, head of annuity sales and general counsel at M&O Marketing in Southfield, Michigan. “The lack of adding such provisions is likely the result of other congressional committees focusing and raising awareness of the positives surrounding annuities within employee-based contribution plans like 401(k).”

Indeed, there is no new fiduciary rule or fee disclosure requirement tucked in the language, and provisions from the earlier SECURE Act expansions were untouched. That is a relief for some advisors who had braced for more aggressive regulatory changes in the wake of growing scrutiny over indexed products and fiduciary standards.

Proposed estate planning changes

But Brown did point to a significant estate planning change: “The bill does propose to make the existing federal estate tax thresholding permanent and then raise the estate tax exemption to $15 million (single) and $30 million (joint), indexed for inflation starting in 2026.”

That would be a welcome shift for high-net-worth individuals and advisors focused on legacy planning. Still, it is a narrow slice of the market, unlikely to shift day-to-day advisor workflows.

BBB’s ACA, Medicaid impacts

Where the bill gets more complicated—and controversial—is in its healthcare provisions.
The legislation rolls back enhanced subsidies under the Affordable Care Act and tightens Medicaid eligibility rules in ways critics say could trigger a wave of insurance loss, especially among younger, lower-income Americans.

Current estimates are about 13.7 million more uninsured Americans by 2034 than there would have been without the bill. – Yehuda Tropper, CEO of Beca Life Settlements

“The bill’s significant changes to Medicaid and the ACA marketplace are projected to make health insurance much less affordable for many Americans,” said Yehuda Tropper, CEO of Beca Life Settlements. “This would likely push them out of the health insurance system and increase the financial burden on hospitals for uncompensated care. Current estimates are about 13.7 million more uninsured Americans by 2034 than there would have been without the bill.”

For insurers, the reduction in subsidized enrollees means fewer premiums and greater uncertainty in risk pools. For health systems, it may result in higher costs for treating patients without coverage. But for investment advisors and asset managers, the link is less direct—though not absent.

Tropper said the fallout could spur growing interest in alternative asset classes—particularly life settlements, a niche investment where institutional buyers purchase life insurance policies from seniors who no longer need or can afford them.

Possible ‘increased interest in life settlements’

“Investment advisors may see increased interest in life settlements as an alternative asset class, especially if traditional investments like stocks and bonds are affected by larger changes to the economy because of the bill,” he said. “For some, life settlement portfolios can be seen as a hedge against market downturns because their performance is not correlated with the stock or bond markets.”

That message is resonating more in recent months as economic indicators point to slower growth, volatile markets, and stubborn inflation. Life settlements, while illiquid and complex, offer steady, long-term returns that are not tied to the whims of the Fed or global markets.

Still, the bill’s impact may be overstated—or at least, uneven. For all the rhetoric surrounding it, the legislation leaves many in the investment and insurance community untouched in the near term. The changes to Medicaid and ACA subsidies are real and potentially troubling, especially for millions who may lose coverage.

But for most financial advisors, the day-to-day effect may be limited—unless the broader economic implications begin to alter consumer behavior. In that case, the ripple effects could be large. Fewer insured Americans may lead to greater out-of-pocket healthcare costs, increased reliance on savings, and a reevaluation of long-term care and life insurance needs. Advisors may need to pivot accordingly—not because of direct regulation, but due to shifting client priorities in an increasingly unstable safety net.

Senate weighing several changes to bill

And in an election year, few are betting that the current version is the last word.
The Senate is already weighing several proposals that could add new dimensions to the industry’s regulatory landscape.

Among them is a controversial provision requiring work requirements for Medicaid recipients and rolling back enhanced ACA subsidies—changes that could increase the number of uninsured Americans and raise costs for providers and insurers alike.

The Senate is also considering expansions to Health Savings Accounts (HSAs), including broader eligibility and higher contribution limits, which could create new planning opportunities for advisors and insurers.

Meanwhile, bipartisan legislation introduced by Sens. Elizabeth Warren and Josh Hawley would force health insurers that own pharmacy benefit managers to divest from their pharmacy operations—an effort to rein in conflicts of interest and drug pricing.

At the state level, bills like New York’s “Insure Our Communities Act” and California’s consumer data protection legislation point to a patchwork of regulatory shifts ahead. Together, these developments underscore that while the “big, beautiful bill” may be the headline, the real changes could unfold in the months to come.

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