# How the One Big Beautiful Bill Changes Medicaid for Older Adults and State Health Policy Page: https://stenobird.com/podcast/health-affairs-this-week-3424387/how-the-one-big-beautiful-bill-changes-medicaid-for-older-adults-and-state-health-policy Text version: https://stenobird.com/podcast/health-affairs-this-week-3424387/how-the-one-big-beautiful-bill-changes-medicaid-for-older-adults-and-state-health-policy.md Podcast: [Health Affairs This Week](https://stenobird.com/podcast/health-affairs-this-week-3424387) Published: 2026-05-13T04:00:00+00:00 Episode link: https://share.transistor.fm/s/c8386d78 Audio file: https://media.transistor.fm/c8386d78/74b32c20.mp3 Processing state: not_requested JSON: https://stenobird.com/v1/public/podcasts/health-affairs-this-week-3424387/episodes/how-the-one-big-beautiful-bill-changes-medicaid-for-older-adults-and-state-health-policy Duration seconds: 2075 ## Resource Welcome to the first episode in a new, limited podcast series exploring major policy changes affecting older adults. The episode is part of our Age-Friendly Health series, which explores topics at the intersection of aging, health, health care, and health policy. In our first episode, host Katherine Ornstein welcomes Hemi Tewarson of the National Academy for State Health Policy how the The Big Beautiful Bill will impact Medicaid and state health policies affecting older adults. Their conversation explores work requirements, Medicaid financing changes, rural health investments, the sustainability of age‑friendly services, and more. Support for the Age-Friendly Health series is provided by The John A. Hartford Foundation . ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/health-affairs-this-week-3424387/episodes/how-the-one-big-beautiful-bill-changes-medicaid-for-older-adults-and-state-health-policy/transcription-requests` — Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/health-affairs-this-week-3424387/how-the-one-big-beautiful-bill-changes-medicaid-for-older-adults-and-state-health-policy.md` — Read the agent-friendly Markdown representation of this episode resource. A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed. ## Transcript Full transcripts are not published on public pages unless there is a clear rights basis.