Panel 2: The View from the Investor: Opportunities, Risks and Market Impacts for Healthcare Paper

The massive One Big Beautiful Bill Act, both in its size and scope – $4.5 trillion of tax cuts, $1 trillion of Medicaid cuts – will have major implications for the public finance sector and the entire U.S. economy.

The rating agencies have begun to dissect the implications and investors are also bracing for what was already a sector facing fiscal pressures now compounded by the large federal cuts. Investors are parsing through issuer credit profiles to see where the bigger risks – and opportunities – lie.

How are investors parsing this data? What do they think about the challenges ahead for the various issuers impacted by these shifts? What are they demanding in return for their investments? What knock-on effects does it have on broader muni credit and investor sentiments? How does bond insurance play a role in shoring up the sectors affected?

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