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

So they're but they're really afraid to go

go to a hospital unless they absolutely have to go to the E D.

Um and we see ice coming into hospitals.

Uh and so you have that whole

overlay and to the um reduction of of eligibility, uh you know, elimination of certain categories of lawful immigrants from the eligibility category.

So it's just gonna create an underclass that has l even less and less access to healthcare except in dire circumstances.

Sure.

I I'll I'm gonna talk about three things.

Um I'll talk about provider taxes and the restrictions under uh HR one and the you know and CMS's proposed rule.

Uh I'll talk about the state directed payments, which are often financed by uh provider taxes and the uh rule that just the proposed rule that recently came out, and we'll talk very briefly about the uniformity rule, which affects only about nine

program.

So it's of lesser impact, but in my home state it's of near and dear to our heart because we have taken advantage of that quote loophole.

Um, so let's start with provider taxes.

What we all you know, what's a provider tax?

Well, states oh over the years have wanted to use less of the general funds to support Medicaid.

So somebody you have to come up with a

um, non federal share from some place.

One place to come up with the non federal share from is to tax the very providers that are gonna benefit from program

financed by that provider tax.

Uh so we have

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