<p>Washington is one of 19 states that have received federal approval to enroll people in Medicaid before they leave jail or prison — a radical change in Medicaid policy that health care and law enforcement leaders believe will save lives.&nbsp;</p><br><p>But this experiment in bringing Medicaid behind bars is now colliding with <a href="https://tradeoffs.org/2026/04/23/new-york-braces-for-trumps-big-medicaid-shakeup/" rel="noopener noreferrer" target="_blank">H.R. 1, the sweeping federal law</a> that is forcing states to make major changes to Medicaid.</p><br><p>Guest(s):</p><p><br></p><ul><li><a href="https://www.linkedin.com/in/autumn-boylan-m-p-h-9080464b/" rel="noopener noreferrer" target="_blank">Autumn Boylan</a>, Deputy director, California Department of Health Care Services</li><li><a href="https://populationhealth.duke.edu/profile/lauren-brinkley-rubinstein" rel="noopener noreferrer" target="_blank">Lauren Brinkley-Rubinstein</a>, Professor, Population Health Sciences, Duke University School of Medicine</li><li>Cody Coughenour</li><li><a href="https://ldh.la.gov/assets/BMAC/Leadership/Pete-Croughan.pdf" rel="noopener noreferrer" target="_blank">Pete Croughan</a>, Deputy secretary, Louisiana Department of Health</li><li><a href="https://ldh.la.gov/office-of-the-secretary" rel="noopener noreferrer" target="_blank">Bruce Greenstein</a>, Secretary, Louisiana Department of Health&nbsp;</li><li><a href="https://www.commerce.wa.gov/reentry-council/council-members/" rel="noopener noreferrer" target="_blank">Tyron Nixon</a>, Medicaid Reentry Transformation Implementation Manager, Washington State Health Care Authority</li><li><a href="https://www.linkedin.com/in/emmasandoe/" rel="noopener noreferrer" target="_blank">Emma Sandoe</a>, Medicaid director, Oregon</li><li><a href="https://www.kitsap.gov/sheriff/Pages/Admin-Department.aspx" rel="noopener noreferrer" target="_blank">Penelope Sapp</a>, Chief of corrections, Kitsap County Sheriff’s Office</li><li><a href="https://events.ncchc.org/national-conference-2022/speaker/512085/marc-stern" rel="noopener noreferrer" target="_blank">Marc Stern</a>, Former assistant secretary for health care at the Washington Department of Corrections</li><li><a href="https://www.clallamcountywa.gov/directory.aspx?EID=155" rel="noopener noreferrer" target="_blank">Tamara Vanover</a>, Mental health specialist, Clallam County Sheriff’s Office</li></ul><p><br></p><p>Learn more: Read the full reporting and explore additional resources <a href="https://tradeoffs.org/2026/06/18/medicaid-overhaul-complicates-states-plans-to-bring-care-into-jails-and-prisons/" rel="noopener noreferrer" target="_blank">on our website</a>.</p><br><p>Want more Tradeoffs? Join more than 5,500 readers who trust Tradeoffs for clear, deeply reported health policy insights. <a href="https://tradeoffs.org/about/subscribe/?utm_campaign=show_notes&amp;utm_source=web&amp;utm_medium=referral" rel="noopener noreferrer" target="_blank">Sign up for our free weekly newsletter</a>.</p><br><p>Tradeoffs helps you cut through the noise with clear, deeply reported journalism on the forces driving health care's toughest choices — reporting you won't find anywhere else. If our work helps you stay informed, <a href="https://tradeoffs.fundjournalism.org/donate/?utm_campaign=show_notes&amp;utm_source=web&amp;utm_medium=referral" rel="noopener noreferrer" target="_blank">support it with a donation today</a>.</p><br><p>This episode was reported by Julie Wernau, edited by Dan Gorenstein and Ryan Levi, and mixed by Andrew Parrella and Cedric Wilson.</p><br><p>The Tradeoffs theme song was composed by Ty Citerman. Additional music this episode from Blue Dot Sessions and Epidemic Sound.</p><br><p>Special thanks to Gabrielle de la Gueronniere, Jody Rich and Kinda Serafi.&nbsp;</p><br><p>Tradeoffs reporting for this story was supported, in part, by Arnold Ventures.</p><br><p><br></p><hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>