Mary-Beth Malcarney returns to update us on the impact of H.R. 1, the so called "big beautiful bill" on Medicaid and those who depend on it. We talk about the variety of responses from different states to this legislation and what may still be coming as the bill takes full effect. 
Read about the impact of H.R. 1 on Medicaid: https://familiesusa.org/resources/the-big-budget-bill-one-year-later-millions-lose-coverage-millions-more-remain-at-risk/

Mary-Beth is a senior advisor on Medicaid Policy for Families USA. She previously worked at the National Academies of Medicine, advising the Social Security Administration on updating disability policies as they related to the health of transgender people.

Want to let CMS(Centers for Medicaid and Medicare Services) know how work requirements impact you? See the FamiliesUSA work requirements guide: 

https://familiesusa.org/wp-content/uploads/2026/07/Families-USA-Medicaid-Work-Reporting-Requirements-IFR-Comment-Guide.pdf

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