Harsh P. Parikh
speaker
227 appearances
1 recordings
1 series
first heard Jul 2026
last heard 17 Jul
Harsh P. Parikh’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
Hello and welcome to the HLA Speaking of Health Law podcast.
Today we're refreshing our deep dive on the sweeping 2025 budget reconciliation law and its transformative impact on the Medicaid program.
When we first recorded this broadcast, the law we're talking about was noted widely as the one big beautiful Bill Act, the OBBBA, or simply HR one.
Now, almost a year later, the law has been rebranded as the Working Families Tax Cut Act, the name that shows up in almost all government guidance and rulemaking.
Whatever you call it, the Medicaid provisions are the same, and they're the largest changes to the Medicaid program in a generation.
A quick refresher before we get started on how we got here.
The law was passed via budget reconciliation by a vote of 51 to 50 in the Senate and 218 to 214 in the House, signed by President Trump on July 4, 2025.
So we're almost we're more than a year into its implementation.
As I noted earlier, it's the largest Medicaid cut in the US history, roughly 900 billion, some say almost a trillion.
Uh about three quarters of that is leading to likely loss coverage in terms of insurance.
This the CBO estimates that ten million people will likely lose coverage by twenty thirty-four.
That number was reaffirmed just earlier this year.
So here's what's different about today's conversation.
A year ago we were reading the statute, describing what the law said.
Today we're watching it come to life, and implementation is where rubber meets the road.
We've got lots of knowns now, and honestly, even more unknowns.
Since we last spoke, guidance has come fast and furious.
A work requirement interim final rule dropped just last month.
A non citizenship eligibility letter to state health officials went out in April.
Six month redetermination guidance, sweeping proposed rule on state directed payments came out in May.
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