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Host: Stephan Currie
Guests: Deena Bosworth and Samantha Gibson of MAC
Topics: Podcast 83 takes on a Washington, D.C., flavor this week as the MAC team discussed the details of a briefing from the National Association of Counties (NACo) on June 5.
“(NACo Executive Director Matt Chase) and his team talked a lot about what's happening with federal funding, and some of the concerns that we have around that, whether it's Medicaid or the SNAP program,” reported Deena Bosworth. “They talked about this designation as sanctuary cities or sanctuary counties, and some of the confusion surrounding that … and then they really dove into some issues with FEMA and the different attempts by both the administration and Congress to make some changes to how FEMA operates, how money gets out the door and how eligibility is determined.
“There was a council put together to talk about what they want to do to make some changes to FEMA,” Bosworth continued. “And I've heard from a couple of emergency managers from across Michigan who are really concerned with what that implies. Are they going to get rid of FEMA? Is it going to be its own separate department? And I think at this point, they're not sure.”
MAC’s Samantha Gibson detailed the latest news on Medicaid:
“President Trump ran on this changing Medicaid and cutting costs. The way they've chosen to go about it is interesting, though. Instead of increasing the income eligibility threshold, what they are exploring is more or less an administrative burden.
“It’s not going to change who's eligible for Medicaid, but it's going to make it more difficult to access it. … It remains to be seen what the increased paperwork requirements will look like with Medicaid.”
“Unfortunately, that means that the state and the locals are going to have to do more fact-checking, more reporting, more administrative paperwork,” noted Bosworth. “And that's going to be pretty difficult for everybody to handle.”
“I think that's what we're seeing with the ‘Big Beautiful Bill’ too. It's going to end up being cost shifts down to states,” said host Stephan Currie. And then how does the state make up those shortfalls, if there are shortfalls, and then what? How does that impact the state budget? Then, how does that impact locals? The whole trickle-down effect, you have all these conversations going on at the same time, and they're all impacted by different decisions at different levels.”
By DerekHost: Stephan Currie
Guests: Deena Bosworth and Samantha Gibson of MAC
Topics: Podcast 83 takes on a Washington, D.C., flavor this week as the MAC team discussed the details of a briefing from the National Association of Counties (NACo) on June 5.
“(NACo Executive Director Matt Chase) and his team talked a lot about what's happening with federal funding, and some of the concerns that we have around that, whether it's Medicaid or the SNAP program,” reported Deena Bosworth. “They talked about this designation as sanctuary cities or sanctuary counties, and some of the confusion surrounding that … and then they really dove into some issues with FEMA and the different attempts by both the administration and Congress to make some changes to how FEMA operates, how money gets out the door and how eligibility is determined.
“There was a council put together to talk about what they want to do to make some changes to FEMA,” Bosworth continued. “And I've heard from a couple of emergency managers from across Michigan who are really concerned with what that implies. Are they going to get rid of FEMA? Is it going to be its own separate department? And I think at this point, they're not sure.”
MAC’s Samantha Gibson detailed the latest news on Medicaid:
“President Trump ran on this changing Medicaid and cutting costs. The way they've chosen to go about it is interesting, though. Instead of increasing the income eligibility threshold, what they are exploring is more or less an administrative burden.
“It’s not going to change who's eligible for Medicaid, but it's going to make it more difficult to access it. … It remains to be seen what the increased paperwork requirements will look like with Medicaid.”
“Unfortunately, that means that the state and the locals are going to have to do more fact-checking, more reporting, more administrative paperwork,” noted Bosworth. “And that's going to be pretty difficult for everybody to handle.”
“I think that's what we're seeing with the ‘Big Beautiful Bill’ too. It's going to end up being cost shifts down to states,” said host Stephan Currie. And then how does the state make up those shortfalls, if there are shortfalls, and then what? How does that impact the state budget? Then, how does that impact locals? The whole trickle-down effect, you have all these conversations going on at the same time, and they're all impacted by different decisions at different levels.”