This article addresses concerns about the One Big Beautiful Bill Act (OBBBA) and its impact on healthcare practitioners, particularly acupuncturists. The author clarifies that the law’s primary effect will be minimal for most practices, unless they treat a significant number of patients with Medicaid or Health Insurance Marketplace (exchange) plans. The main changes are not related to coding but to patient eligibility and administrative protocols. Beginning in 2027, many Medicaid beneficiaries will face new work or educational requirements to maintain coverage, leading to more frequent eligibility reviews and a higher risk of coverage loss. Similarly, stricter verification rules for Marketplace plans will likely cause more coverage lapses. The author stresses that the central challenge for providers will be ensuring patient coverage is active at the time of service. To mitigate the risk of claim denials and unpaid patient balances, the article provides a practical checklist for clinics. This includes verifying Medicaid eligibility before every visit, updating financial policies, strengthening Good-Faith Estimate processes, and training staff to recognize and manage potential coverage lapses. The key takeaway is a call for increased administrative diligence and proactive patient communication.