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Policy to Property: How the Big Beautiful Bill Will Transform Healthcare CRE

IMPACT ON THE HEALTHCARE SECTOR

The One Big Beautiful Bill Act (OBBBA) reshapes healthcare in several ways. Tightening eligibility, funding cuts, and added cost barriers may lead to an increase in uncompensated care, strained hospitals, and altered public health. While the Bill includes several provisions that critics warn will reduce care, it also embeds meaningful care-enhancing initiatives if implemented effectively and equitably. Nevertheless, the changes will impact both the healthcare sector and the decision-making surrounding commercial real estate decisions.

 

IMPACT ON COMMERCIAL REAL ESTATE

The OBBBA has several provisions that will fundamentally change commercial real estate. The law ramps up tax allowances, bolsters housing incentives, and improves return mechanics for investors. However, the rollback of green building credits places an increased burden on developers focused on sustainability, which increases reliance on subnational programs or market premiums. The legislation is positioned to catalyze development, open capital flows, and enhance scalability, particularly in manufacturing facilities and value-add properties.

 

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