Podcast: Medicaid One Year After the Working Families Tax Cut Act
American Law Association: AHLA Speaking of Health Law Podcast
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August 21, 2026
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One year after the passage of the Working Families Tax Cut Act (formerly known as the One Big Beautiful Bill Act), states and providers are continuing to grapple with the biggest changes to Medicaid in a generation. FTI Consulting Healthcare Senior Managing Director, Anne Winter, Nixon Peabody LLP Partner, Harsh P. Parikh and Founding Partner of Hooper Lundy & Bookman PC, Lloyd A. Bookman discuss the Centers for Medicare & Medicaid Services’ (“CMS”) June 1 interim final rule related to work requirements, the multi-state lawsuit challenging that rule (Massachusetts v. Oz), new eligibility and coverage requirements, CMS’ May 22 state-directed payment proposed rule, the current status of the Rural Health Transformation Program and how states are responding to Medicaid cuts.
Anne Winter pulled from her experience in Medicaid policy and regulation to discuss the impact of the recent Medicaid provisions on States and providers. She began the discussion explaining medical frailty and how people are affected due to the increasingly vague and confusing guidelines set up by the recent Working Families Tax Cut Act. Anne shared that this fundamental change in medical eligibility puts more pressure on providers to prove significant impairment in their patients. With the current provisions, standards for significant impairment are subjective and can change depending on the provider. This also affects the budgeting and financial allocations of states, leading them to band together in the recent lawsuit ahead of the upcoming budget deadline.
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Published
August 21, 2026
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