In April 2023, CMS included several health equity updates in the Fiscal Year (FY) 2024 Inpatient Prospective Payment System (IPPS) proposed rule. In follow-up, the Alliance convened seven health system members on May 31st, 2023, to discuss the updates, potential implications, and challenges. This resource provides the key takeaways from the discussion, including health system challenges that policymakers should consider and outstanding questions.