Tradeoffs As the Big Beautiful Bill Becomes Law, States Face a ‘Daunting’ Rollout
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Jul 10, 2025 Kody Kinsley, Senior Policy Advisor at Johns Hopkins School of Nursing and former North Carolina Secretary of Health and Human Services, dives into the challenges states are facing with new health reforms. He discusses the daunting task of implementing Medicaid work requirements and the technological hurdles ahead. Budget cuts loom large, threatening healthcare coverage, while the rollout of the Big Beautiful Bill raises concerns about its complexity and the varied responses from different states. Kinsley highlights the critical importance of these reforms for communities.
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States Face Daunting Implementation
- State officials are overwhelmed trying to understand and implement the new health care law rapidly.
- They must decode complex provisions and wait for further federal guidance and possible litigation outcomes.
Health Official Considers Leaving
- A current state health official confided frustration so severe they considered quitting.
- Kody Kinsley counseled them to stay, emphasizing their vital expertise needed now more than ever.
Use Technology for Medicaid Eligibility
- States should maximize technology to automate eligibility and minimize beneficiary burden.
- Leveraging ex parte data reduced manual reviews, speeding Medicaid enrollment efficiently in North Carolina.