Medicaid Reform & Political Landscape - The potential passage of a rule concerning Medicaid is uncertain, with failure to pass potentially halting progress on related issues [1][2] - The House and Senate have differing approaches to Medicaid reform, particularly regarding waste, fraud, and abuse, requiring reconciliation [6] - Correcting expanded Medicaid roles implemented by the Biden administration is a key objective, aiming to reform the system for those truly deserving [7][8] - Political considerations and a limited timeframe necessitate prompt action on Medicaid reform [10] Waste, Fraud, and Abuse in Medicaid - Significant waste, fraud, and abuse exist within the Medicaid system at individual and hospital levels [11][12] - High CEO compensation in hospital systems primarily funded by taxpayer dollars is a concern [12][13] - Addressing abuses in the Medicaid system presents a "once-in-a-lifetime" opportunity for reform [13] Societal Issues & Medicaid Burden - In North Carolina, 52% of births are to mothers on Medicaid, highlighting a societal issue contributing to the Medicaid burden [14] - Systemic societal issues, such as young individuals having children and relying on Medicaid, strain the system's financial responsibility [15] State & Federal Responsibilities - States should bear more responsibility for issues currently funded by the federal government through Medicaid [5][24] - The federal government should not be bankrupted by issues that states should be addressing [24] Potential Senate Run - There is consideration for a potential run for Senate in North Carolina, driven by the need to maintain a Republican seat [25][27]

Joining us now, Republican Congressman of South Dakota, Dusty Johnson. Thanks for coming on the program. Uh, Congressman, when the speaker says he is working through, what does that mean.What are your observations about getting this bill to what where I know you want it to be, which is the finish line. I mean, the holdouts are concerned about good policy. They want to make sure that this bill, particularly in areas related to Medicaid, move our country in the right place.I spent two hours at the White House ...