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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by the uniformity rule that has a u that is not tax Medicaid L of utilization higher than other utilization by January one, twenty twenty-seven.

then for other types of taxes like taxes on hospitals, they've got until um the end of the state fiscal year ending in 2028.

So they've it's been kicked out a little bit.

What my state is doing on the MCO tax, which is

Definitely problematic under this rule and brings in billions of dollars to the state is we have legislation.

to implement pending to implement a uniform MCO tax.

So it'll so we need money.

The state legislature's reacting.

We'll see we'll see how that that goes as as it moves forward.

But the third and perhaps the the most dramatic uh

changes deals of state directed payments.

Uh the

We we

Um effective uh

uh w the um excuse me hR1 uh provides that expans uh caps dire uh state directed payments a couple of ways.

If you're in expansion state, it's capped at 100% of the um uh of really the rate that Medicare would pay.

If you're a non-expansion state, you're capped at 110%.

But existing state directed payment mechanisms.

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