Lloyd A. Bookman
speaker
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 · last 12 monthsRecordings per month over the last 12 months — 1 in all, peaking in Jul 2026 with 1.
Appearances
Forty-nine states that have implemented provider taxes, um, many of which have been implemented in the last ten or fifteen years.
It's it's it's a
fundamental way that Medicaid is f uh funded today, whether it's a a good good idea, bad idea, it is in f and and I experienced this in California.
That was the only way we were going to get additional non-federal share money to support um uh a decent increase or to to Medicaid rates or s or supplemental Medicaid rates.
So important, critical.
Most states use them.
If we didn't have provider taxes, we'd have much lower rates and we'd have much more uh problems for for um providers that are um uh benefited through provider taxes.
Um
There th what the inner final rule not the inner final rule what what CMS has done or
uh or Congress has done and then CMS has uh implemented is they've set a limit.
I'm gonna start with prior taxes.
They've set a limit
on uh provider taxes.
CMS doesn't like 'em.
Congress
Uh doesn't
Much of Congress doesn't like them except when they benefit their own district.
Um so for non expansion states, states that have not expanded Medicaid under the ACA.
Uh
the statute sets a limit on the percentage of has set a limit for years on the percentage of net patient revenue that a provider tax can uh encompass.
Showing 161–180 of 311 · page 9 of 16
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