--- title: State OBBBA guidance is starting to land — what revenue cycle leaders should do now image: https://go.beckershospitalreview.com/hubfs/site/beckers-healthcare-webinar-cta.png --- [Skip to main content](https://go.beckershospitalreview.com/finance/state-obbba-guidance-is-starting-to-land-what-revenue-cycle-leaders-should-do-now#main) - [BHR](https://www.beckershospitalreview.com/) - [Clinical](https://www.beckershospitalreview.com/quality/) - [Health IT](https://www.beckershospitalreview.com/healthcare-information-technology/) - [CFO](https://www.beckershospitalreview.com/finance/) - [ASC](https://www.beckersasc.com/) - [Spine](https://www.beckersspine.com/) - [Dental](https://www.beckersdental.com/) - [Payer](https://www.beckerspayer.com/) - [Behavioral](https://www.beckersbehavioralhealth.com/) - [Physician](https://www.beckersphysicianleadership.com/) More - About - [About Becker’s](https://hubs.beckershealthcare.com/about) - [Careers](https://hubs.beckershealthcare.com/careers) - For Sponsors - [Contact Us](https://www.beckersphysicianleadership.com/contact-us/) - [Media Kit](https://www.beckershospitalreview.com/request-media-kit/) - [Content Specs](https://hubs.beckershealthcare.com/content-specifications) Search [Subscribe](https://www.beckershospitalreview.com/subscribe/) [![](https://www.beckershospitalreview.com/wp-content/themes/beckers-healthcare/assets/images/logo.png) Becker's Hospital Review | Healthcare News & Analysis](https://www.beckershospitalreview.com) - Leadership - [Leadership & Management](https://www.beckershospitalreview.com/hospital-management-administration/) - [Executive Moves](https://www.beckershospitalreview.com/hospital-executive-moves/) - [Strategy](https://www.beckershospitalreview.com/strategy/) - [Rankings](https://www.beckershospitalreview.com/rankings-and-ratings/) - [HR](https://www.beckershospitalreview.com/hr/) - [Workforce](https://www.beckershospitalreview.com/workforce/) - [Marketing](https://www.beckershospitalreview.com/digital-marketing/) - Finance - [Financial Management](https://www.beckershospitalreview.com/finance/) - [Capital](https://www.beckershospitalreview.com/capital/) - [Compensation](https://www.beckershospitalreview.com/compensation-issues/) - [Transactions & Valuation](https://www.beckershospitalreview.com/hospital-transactions-and-valuation/) - [Legal & Regulatory](https://www.beckershospitalreview.com/legal-regulatory-issues/) - Health IT - [Health Information Technology](https://www.beckershospitalreview.com/healthcare-information-technology/) - [EHRs](https://www.beckershospitalreview.com/ehrs/) - [Artificial Intelligence](https://www.beckershospitalreview.com/ai/) - [Cybersecurity](https://www.beckershospitalreview.com/cybersecurity/) - [Digital Health](https://www.beckershospitalreview.com/digital-health/) - [Innovation](https://www.beckershospitalreview.com/innovation/) - [Telehealth](https://www.beckershospitalreview.com/telehealth/) - [Disruptors](https://www.beckershospitalreview.com/disruptors/) - Clinical Care - [Patient Safety and Outcomes](https://www.beckershospitalreview.com/patient-experience/patient-safety-outcomes/) - [Physicians](https://www.beckershospitalreview.com/hospital-physician-relationships/) - [Nursing](https://www.beckershospitalreview.com/nursing/) - [Pharmacy](https://www.beckershospitalreview.com/pharmacy/) - [Patient Experience](https://www.beckershospitalreview.com/patient-experience/) - [Care Coordination](https://www.beckershospitalreview.com/care-coordination/) - [Infection Prevention and Control](https://www.beckershospitalreview.com/infection-control/) - [Public Health](https://www.beckershospitalreview.com/public-health/) - [Health Equity](https://www.beckershospitalreview.com/health-equity/) - [GLP-1s](https://www.beckershospitalreview.com/glp-1s/) - [Supply Chain](https://www.beckershospitalreview.com/supply-chain/) - Specialties - [Oncology](https://www.beckershospitalreview.com/oncology/) - [Cardiology](https://www.beckershospitalreview.com/cardiology/) - [Orthopedics](https://www.beckershospitalreview.com/orthopedics/) - [OR](https://www.beckershospitalreview.com/or/) - [Post-Acute](https://www.beckershospitalreview.com/post-acute/) - [Lab](https://www.beckershospitalreview.com/lab/) - [Radiology](https://www.beckershospitalreview.com/radiology/) - Resources - [Live Webinars](https://www.beckershospitalreview.com/webinar-types/upcoming-webinars/) - [OnDemand Webinars](https://www.beckershospitalreview.com/webinar-types/ondemand-webinars/) - [Whitepapers](https://www.beckershospitalreview.com/whitepapers/) - [Podcasts](https://www.beckerspodcasts.com/) - [Featured Content](https://conferences.beckershospitalreview.com/featured-content) - [Lists](https://conferences.beckershospitalreview.com/lists/7368520) - [Surveys](https://www.beckershospitalreview.com/surveys/) - [Videos](https://conferences.beckershospitalreview.com/videos) - [Newsletters](https://www.beckershospitalreview.com/newsletters/) - [LeanTaaS Content Hub](https://hubs.beckershealthcare.com/leantaas-ai-solutions) - [Intuitive Content Hub](https://hubs.beckershealthcare.com/intuitive-beckers-content-hub) - [NRC Content Hub](https://conferences.beckershospitalreview.com/nrc-health-content-hub?utm_source=bhrwebsite) - Events - [Live Events](https://conferences.beckershospitalreview.com/upcoming-events) - [Virtual Events](https://conferences.beckershospitalreview.com/upcoming-events/virtual-event) Search for: Clear search Search [![](https://www.beckershospitalreview.com/wp-content/themes/beckers-healthcare/assets/images/logo.png) Becker's Hospital Review | Healthcare News & Analysis](https://www.beckershospitalreview.com) Menu [Subscribe](https://www.beckershospitalreview.com/subscribe/) Search for: Clear search Search - Leadership - [Leadership & Management](https://www.beckershospitalreview.com/hospital-management-administration/) - [Executive Moves](https://www.beckershospitalreview.com/hospital-executive-moves/) - [Strategy](https://www.beckershospitalreview.com/strategy/) - [Rankings](https://www.beckershospitalreview.com/rankings-and-ratings/) - [HR](https://www.beckershospitalreview.com/hr/) - [Workforce](https://www.beckershospitalreview.com/workforce/) - [Marketing](https://www.beckershospitalreview.com/digital-marketing/) - Finance - [Financial Management](https://www.beckershospitalreview.com/finance/) - [Capital](https://www.beckershospitalreview.com/capital/) - [Compensation](https://www.beckershospitalreview.com/compensation-issues/) - [Transactions & Valuation](https://www.beckershospitalreview.com/hospital-transactions-and-valuation/) - [Legal & Regulatory](https://www.beckershospitalreview.com/legal-regulatory-issues/) - Health IT - [Health Information Technology](https://www.beckershospitalreview.com/healthcare-information-technology/) - [EHRs](https://www.beckershospitalreview.com/ehrs/) - [Artificial Intelligence](https://www.beckershospitalreview.com/ai/) - [Cybersecurity](https://www.beckershospitalreview.com/cybersecurity/) - [Digital Health](https://www.beckershospitalreview.com/digital-health/) - [Innovation](https://www.beckershospitalreview.com/innovation/) - [Telehealth](https://www.beckershospitalreview.com/telehealth/) - [Disruptors](https://www.beckershospitalreview.com/disruptors/) - Clinical Care - [Patient Safety and Outcomes](https://www.beckershospitalreview.com/patient-experience/patient-safety-outcomes/) - [Physicians](https://www.beckershospitalreview.com/hospital-physician-relationships/) - [Nursing](https://www.beckershospitalreview.com/nursing/) - [Pharmacy](https://www.beckershospitalreview.com/pharmacy/) - [Patient Experience](https://www.beckershospitalreview.com/patient-experience/) - [Care Coordination](https://www.beckershospitalreview.com/care-coordination/) - [Infection Prevention and Control](https://www.beckershospitalreview.com/infection-control/) - [Public Health](https://www.beckershospitalreview.com/public-health/) - [Health Equity](https://www.beckershospitalreview.com/health-equity/) - [GLP-1s](https://www.beckershospitalreview.com/glp-1s/) - [Supply Chain](https://www.beckershospitalreview.com/supply-chain/) - Specialties - [Oncology](https://www.beckershospitalreview.com/oncology/) - [Cardiology](https://www.beckershospitalreview.com/cardiology/) - [Orthopedics](https://www.beckershospitalreview.com/orthopedics/) - [OR](https://www.beckershospitalreview.com/or/) - [Post-Acute](https://www.beckershospitalreview.com/post-acute/) - [Lab](https://www.beckershospitalreview.com/lab/) - [Radiology](https://www.beckershospitalreview.com/radiology/) - Resources - [Live Webinars](https://www.beckershospitalreview.com/webinar-types/upcoming-webinars/) - [OnDemand Webinars](https://www.beckershospitalreview.com/webinar-types/ondemand-webinars/) - [Whitepapers](https://www.beckershospitalreview.com/whitepapers/) - [Podcasts](https://www.beckerspodcasts.com/) - [Featured Content](https://conferences.beckershospitalreview.com/featured-content) - [Lists](https://conferences.beckershospitalreview.com/lists/7368520) - [Surveys](https://www.beckershospitalreview.com/surveys/) - [Videos](https://conferences.beckershospitalreview.com/videos) - [Newsletters](https://www.beckershospitalreview.com/newsletters/) - [LeanTaaS Content Hub](https://hubs.beckershealthcare.com/leantaas-ai-solutions) - [Intuitive Content Hub](https://hubs.beckershealthcare.com/intuitive-beckers-content-hub) - [NRC Content Hub](https://conferences.beckershospitalreview.com/nrc-health-content-hub?utm_source=bhrwebsite) - Events - [Live Events](https://conferences.beckershospitalreview.com/upcoming-events) - [Virtual Events](https://conferences.beckershospitalreview.com/upcoming-events/virtual-event) Site Switcher - [BHR](https://www.beckershospitalreview.com/) - [Clinical](https://www.beckershospitalreview.com/quality/) - [Health IT](https://www.beckershospitalreview.com/healthcare-information-technology/) - [CFO](https://www.beckershospitalreview.com/finance/) - [ASC](https://www.beckersasc.com/) - [Spine](https://www.beckersspine.com/) - [Dental](https://www.beckersdental.com/) - [Payer](https://www.beckerspayer.com/) - [Behavioral](https://www.beckersbehavioralhealth.com/) - [Physician](https://www.beckersphysicianleadership.com/) - About - [About Becker’s](https://hubs.beckershealthcare.com/about) - [Careers](https://hubs.beckershealthcare.com/careers) - For Sponsors - [Contact Us](https://www.beckersphysicianleadership.com/contact-us/) - [Media Kit](https://www.beckershospitalreview.com/request-media-kit/) - [Content Specs](https://hubs.beckershealthcare.com/content-specifications) ## State OBBBA guidance is starting to land — what revenue cycle leaders should do now --- ### Wednesday, June 24th, 2026 | 12:00 PM - 1:00 PM CT State-level direction on the One Big Beautiful Bill Act (OBBBA, H.R. 1) is no longer hypothetical. Guidance is beginning to land, and revenue cycle leaders need to translate it into operational changes well before 2027. The complications won't be uniform. OBBBA reaches across the revenue cycle through community engagement requirements, six-month eligibility redeterminations for expansion adults, narrower retroactive coverage and modified cost-sharing. States are setting their own approaches to look-back periods, exemptions, data-matching and verification cadences. Coverage volatility — already a recurring pain point during Medicaid redetermination — is set to become a constant rather than a periodic disruption. This live discussion offers a candid look at what's emerging, where the real risk lives in current workflows and what revenue cycle leaders can do now to get ahead. **Learnings include:** - Which OBBBA policy signals from states are concrete versus still interpretive - How upstream coverage gaps are quietly driving downstream rejections - What organizations got wrong during Medicaid redetermination that's set to repeat under OBBBA - A realistic view of what "ready" should look like by the end of 2026 ## **Presenters:** ![Sarah Brainard 400x400 - Jason Grady](https://go.beckershospitalreview.com/hs-fs/hubfs/Sarah%20Brainard%20400x400%20-%20Jason%20Grady.png?width=120&height=120&name=Sarah%20Brainard%20400x400%20-%20Jason%20Grady.png) ### Sarah Brainard ##### Vice President of Enterprise Solutions, Office Ally ![Thomasina (1)](https://go.beckershospitalreview.com/hs-fs/hubfs/Thomasina%20(1).jpeg?width=120&height=120&name=Thomasina%20(1).jpeg) ### Thomasina Wilkins ##### Chief Revenue Officer, Sinai Chicago ![Anita Colon-1](https://go.beckershospitalreview.com/hs-fs/hubfs/Anita%20Colon-1.jpg?width=120&height=120&name=Anita%20Colon-1.jpg) ### Anita Colon ##### VP, Revenue Cycle Operations, Temple Health ![Kaci Ramsey Headshot](https://go.beckershospitalreview.com/hs-fs/hubfs/Kaci%20Ramsey%20Headshot.jpg?width=120&height=120&name=Kaci%20Ramsey%20Headshot.jpg) ### Kaci Ramsey, MSN, RN, CHFP ##### Vice President of Revenue Cycle, Confluence Health ![Fountain_ 1](https://go.beckershospitalreview.com/hs-fs/hubfs/Fountain_%201.jpg?width=120&height=120&name=Fountain_%201.jpg) ### Nicole Fountain ##### Vice President, Revenue Cycle, UChicago Medicine [![](https://www.beckershospitalreview.com/wp-content/themes/beckers-healthcare/assets/images/logo.png) Becker's Hospital Review | Healthcare News & Analysis](https://www.beckershospitalreview.com) ### Contact Us [1-800-417-2035](tel:180041720354) [becker@beckershealthcare.com](mailto:becker@beckershealthcare.com) - [RSS Feed](https://www.beckershospitalreview.com/rss-feeds/) - [LinkedIn](https://www.linkedin.com/company/asc-communications/) - [Facebook](https://www.facebook.com/@BeckersHospitalReview/) - [X](https://x.com/beckershr) - [YouTube](https://www.youtube.com/user/hospitalreview1) ### Other Becker’s Sites - [ASC](https://www.beckersasc.com/) - [Spine](https://www.beckersspine.com/) - [Dental](https://www.beckersdental.com/) - [Payer](https://www.beckerspayer.com/) - [Behavioral](https://www.beckersbehavioralhealth.com/) - [Physician](https://www.beckersphysicianleadership.com/) ### More Resources - [Events](https://conferences.beckershospitalreview.com/upcoming-events/) - [Whitepapers](https://www.beckershospitalreview.com/whitepapers/) - [Live Webinars](https://www.beckershospitalreview.com/webinar-types/upcoming-webinars/) - [OnDemand Webinars](https://www.beckershospitalreview.com/webinar-types/ondemand-webinars/) Copyright © 2026 Becker’s Healthcare. All Rights Reserved. [Privacy Policy](https://www.beckershospitalreview.com/privacy-policy/). [Cookie Policy](https://www.beckershospitalreview.com/cookie-policy/). [Linking and Reprinting Policy](https://www.beckershospitalreview.com/uncategorized/linking-and-reprinting-policy/). | [Employee Access](https://mhq-ep.prismhr.com/) ![](https://www.facebook.com/tr?id=1151078721744405&ev=PageView&noscript=1) ![](https://px.ads.linkedin.com/collect/?pid=1310345&fmt=gif)