Lloyd A. Bookman

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311 appearances 1 recordings 1 series first heard Jul 2026 last heard 17 Jul

Lloyd A. Bookman’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

Let's say three point five percent of net patient revenue is gonna are gonna experience a decline uh in the size of their provider taxes.

But I think the other the limit

of provider taxes to the existing uh net patient revenue percentage as of the date of enactment is a really big deal and that's impacted a lot of states.

So states basically the idea is that provider taxes won't increase.

Level one increase, uh, and for some states they're gonna decrease uh between now and 20 and 2032.

CMS is uh CBO estimated 182 billion dollar savings as a result of the provider tax restrictions.

And since provider taxes typically feed um supplemental payments and state directed payments, that's gonna lead to a reduction of those.

The second piece in this area that uh has come out is the uh uniformity provision.

Some states, uh including California, have taxed Medicaid activity at a higher rate than non-Micaid activity.

CMS calls this a big loophole and has sought to close the loophole.

And the

The uh statute HR one required CMS to close the loophole.

It gave CMS some flexibility on the effective date.

There's a transition period for MCO taxes.

And there are basically there are seven MCO taxes that are implicated by this, uh, one hospital provider fee and one nursing home provider fee that are implicated by the uniformity rule.

Uh MCO taxes approved on and after April 4, 2024, um must comply.

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