On-Demand Webinar: “OBBBA Impacts: Medicaid Cuts & State Tax Implications”

Tuesday, June 23, 2026

12:30 pm – 1:30 pm E.T.

Duration: 60 Minutes

Series

Summer CPE Symposium

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Summer CPE Symposium

The PYA Summer CPE Symposium is a complimentary, two-day virtual event designed for healthcare professionals, offering four expert-led sessions on key industry topics. Participants will gain valuable insights on reimbursement, healthcare compliance, audit and accounting, and cybersecurity, along with practical takeaways and tools. Hosted by PYA thought leaders, the symposium offers CPE credits, and attendees can register for as many sessions as they choose.

Presentation Slides | Resources

Changes under the One Big Beautiful Bill Act (OBBBA) may affect Medicaid funding, creating potential financial and operational pressure for states and healthcare providers. As federal support shifts, organizations may need to evaluate implications for reimbursement, compliance, and financial planning, while states consider tax and policy responses to address resulting funding gaps.

During this webinar, PYA Managers Ramzi Fadayel and Patrick Birmingham examined key healthcare policy changes under OBBBA and their implications for providers. The session reviewed the financial impact of Medicaid funding reductions, outlined related compliance and operational considerations, and explored state-level tax strategies under consideration or in place to offset reduced federal support.

Learning objectives for this session included:

  • Evaluating reductions to provider taxes and their effect on Medicaid program funding and provider reimbursement
  • Understanding stricter Medicaid community engagement requirements and redetermination periods, including operational and compliance implications for providers
  • Assessing the impact of OBBBA-related changes on the 340B Drug Pricing Program
  • Identifying tax funding strategies being proposed or implemented by states to offset reduced federal Medicaid support
  • Analyzing the pros and cons of increased state and local taxes from a multi-jurisdictional and provider-impact perspective

This webinar was presented as part of PYA’s fifth annual Summer CPE Symposium, “Hot Topics in Healthcare & Accounting,” held June 23-24. The complimentary virtual event featured four sessions focused on timely issues affecting healthcare leaders, finance professionals, and other decision makers, including assurance, Medicaid funding changes, practice valuation, and artificial intelligence cybersecurity.

If you would like additional guidance on audit and assurance, tax planning, business valuation, cybersecurity, or any matter related to strategy or operations, our leaders are happy to help.

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PYA
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