PAPs Facing a Perfect Storm In 2026 and Beyond

Originally published by our sister publication Specialty Pharmacy ContinuumBy Gina ShawWith a cascade of policy rollbacks, expiring subsidies, and payor-driven benefit changes converging over the next 18 months, PAPs are about to face a perfect storm of disruption.The One Big Beautiful Bill Act (OBBBA), signed into law on July 4, 2025, is already reshaping the insurance landscape. The law did not extend the enhanced Affordable Care Act (ACA) premium tax credits that expired at the end of 2025. &