Trump’s 2026 Outlook for Self-Funded Health Plans: The 12 Developments TPAs Can’t Ignore

Kicked off 2026 with a fast, practical scan of the issues most likely to affect TPAs, self-funded employers, and stop-loss partners as the Trump administration set new priorities. We recapped the most important late-2025 developments and highlighted what was “brewing” for 2026—without getting lost in the weeds. Attendees received clear takeaways on fiduciary suits, ERISA preemption, GLP-1s, litigation trends, federal agency signals, Capitol Hill dynamics, and state activity (especially stop-loss). We closed with a “do now” checklist teams could use to reduce risk and stay ahead of client questions.