OBBBA Implementation and Its Impact on Medicaid: What Health Centers Should Know

March 26, 2026

The “One Big Beautiful Bill Act” (“OBBBA” or “H.R. 1”) has already imposed, and will continue to impose, a number of changes to the Medicaid program, with many of the changes targeting the Medicaid expansion population in particular. State Medicaid agencies are already in the process of devoting significant time and effort in assessing the impact of OBBBA’s changes and determining how coverage under Medicaid will change. 

A number of State Medicaid agencies and health care analysts are projecting Medicaid coverage losses due to changes relating to work/community engagement requirements, more frequent eligibility redeterminations, retroactive coverage limits, and changes with respect to the coverage of immigrants. Other changes limit how State Medicaid agencies can fund their programs through state directed payment and provider taxes. State Medicaid agencies will need to make difficult choices. At the same time, the OBBBA created the $50 billion Rural Health Transformation grant program that CMS has already begun to implement.

This webinar will cover:

  • What will OBBBA mean for health centers that are required as a condition of their Public Health Service Act funding to serve Medicaid-covered individuals?
  • Should health centers expect an increase in their uninsured populations?
  • And what, if anything, can a health center do to try to prepare for these changes? 

Target Audience

  • Health center C-Suite (CEO, COO, CFO) 
  • Individuals with revenue cycle type responsibilities
  • Primary care association leadership and policy personnel

Learning Objectives

After this webinar, you will be able to:

  1. Describe key OBBBA provisions related to the Medicaid program
  2. Anticipate consequences of the OBBBA relevant to health centers
  3. Prepare action items to respond to OBBBA’s potential effects
Course summary
Available credit: 
  • 1.00 Certificate of Attendance
  • 1.20 CPE
Course opens: 
03/02/2026
Course expires: 
04/27/2026
Event starts: 
03/26/2026 - 3:00pm EDT
Event ends: 
03/26/2026 - 4:00pm EDT
Cost:
$185.00
Add to calendar: 

Kathy Ghiladi 

Kathy Ghiladi is a Partner in the firm's Federal Grants and Health Care practice groups. She serves as counsel to state and Federal contractors and grant recipients across the country, including Community Action Agencies receiving CSBG Act and Head Start funding. Kathy has assisted Head Start agencies in reviewing and responding to monitoring reviews and has represented Head Start agencies in appeals before the U.S. Department of Health and Human Services Departmental Appeals Board (DAB). She has provided Head Start trainings across the country including trainings provided to U.S. Department of Health and Human Services, Administration for Children and Families personnel. In addition, she represents federal grant recipients in government investigations and audits and has helped Head Start agencies navigate governance and related obligations during difficult times involving CEO transitions, Policy Council disputes/mediation, investigations and audits. [Full Bio]

Participants can earn up to 1.20 CPE credits in Specialized Knowledge and Applications upon completion of all course requirements.

Attendee Requirements for CPE Credit

If you purchase CPE credit for this webinar you must satisfy the following conditions in order to receive your certificate:

  1. Answer at least 3 of the polling questions during the webinar
  2. Complete the evaluation survey after the conclusion of the webinar or in the follow-up email

Upon completion of these requirements, we will email you your CPE Certificate within two (2) weeks.

Additional Information

  • Prerequisites: None 
  • Target Audience: Health center C-Suite (CEO, COO, CFO), Individuals with revenue cycle type responsibilities, Primary care association leadership and policy personnel
  • Advanced Preparation: None  
  • Program Level: All
  • Delivery Method: Group Internet Based

Feldesman LLP is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website www.nasbaregistry.org (formerly www.learningmarket.org).

Available Credit

  • 1.00 Certificate of Attendance
  • 1.20 CPE

Price

Cost:
$185.00
Please login or register to take this course.

Access to the recorded version of this webinar is included in your purchase.

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