Catherine (Kat) Kirkland
speaker
168 appearances
1 recordings
1 series
first heard Jul 2026
last heard 28 Jul
Catherine (Kat) Kirkland’s voice in public audio — every appearance, attributed to the second.
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recordings per month · last 12 monthsRecordings per month over the last 12 months — 1 in all, peaking in Jul 2026 with 1.
Appearances
I think we took kind of a harder look at it based off some early CMS guidance when we were in Baltimore.
But since then we CMS has taken a little more of a relaxed point of view with the implementation on the no new taxes and the freeze that's come out since then.
Right.
Well, you know, I think uh when we think about these
cuts and the implications.
One of the things that we talked about in Baltimore that I think states are still grappling with is provider taxes are not only used for supplemental payment programs, but they were often used to finance expansion populations, right?
And so not only do we have cuts to provider taxes and reductions to you know state directed payments
payment programs that are often funded by provider taxes, but we're gonna have to see states figuring out how to triage um
A reduction in
provider taxes and how do we apply that?
Because some states also use those provider taxes to help backfill other budget deficits get with, you know, their
their health and human services type budget or other budgets.
Some states will just use it.
generally for budget backfill, they'll they'll skim some of that provider tax.
And so really it's going to become a question of how are states going to start planning and triaging for these cuts.
If you are at a state, an expansion state who's at 6%, and you know, we're looking down the barrel of January 1st, 2028 and planning for budgets, I think we're going to start that impact soon because
Because you can't just wake up on January 1st and say, oh shoot, our tax has gone down 5%.
How are we going to backfill this?
I think over the next 18 months we're going to see a lot of decision making from states.
And so to your point about, you know, the sausage and trying to get the political machine rolling, that needs to be done now.
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