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:
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
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A realistic view of what "ready" should look like by the end of 2026
Presenter:
