Harsh P. Parikh

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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 over the last 12 months — 1 in all, peaking in Jul 2026 with 1.

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AHLA's Speaking of Health Law · One Year In: Implementing the Medicaid Provisions of the Working Families Tax Cut Act · 17 Jul 2026 podcast

It's really the biggest new development since we last spoke.

Uh so let me just lay lay the groundwork really quick.

On June twenty ninth, twenty twenty six

It looks like a broad coalition marched into court and challenged these work requirements.

They didn't wait around until, you know, January one, twenty twenty-seven.

Um, and we're talking about I think twenty-six states to um plus maybe the District of Columbia.

Uh so Lloyd, give us uh an overview.

What exactly is going on here?

So the point Lloyd here is that the the challenge is actually surgical and it's not it's it's not like the whole interim final rule is being challenged and there is a chance that

it's all gonna be overturned and and maybe come January twenty sevente seven, there won't be this new obligation across the US.

It it sort of sounds like it's more nuanced um that than just sort of a broad swath attack on the entire stuff entire rule.

And before we get to the counts, Lloyd, and uh, you know, you were talking about, you know, when the rule came out, the reaction from um from state Medicaid agencies.

Um and and and this was you know, folks were caught off guard, right?

That they completely caught off guard.

It just Yeah, definitely.

So so Lloyd, let's let's nerd out.

Tell tell us about the the legal bases that the that the the states are using to challenge these three provisions of the IFR.

Yes, I mean when when we talked last time, right, we we spoke about technology and and and ways that technology can

uh be a solution to these additional paperwork obligations.

And uh it sounds like the the way CMS um sort of articulated some of these exceptions, for example, the significantly impaired standard, that's super subjective.

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