As CEO of a behavioral health organization serving Medicaid populations in Phoenix and Tucson, Julie witnessed firsthand the challenges providers face, especially in the aftermath of the 2023 Medicaid fraud scandal that targeted Native Americans and exposed major oversight gaps. She is concerned that H.R.1 (“Big Beautiful Bill”) will further reduce access to care by tightening eligibility requirements and capping provider taxes, a move that could cut Arizona’s Medicaid funding by an estimated $600 million. To offset these losses, the state would need to reduce provider payments, limit eligibility, scale back services, or reallocate funds from other areas. Arizona’s overall well-being depends on protecting access to care for vulnerable populations and Julie is committed to pursuing pragmatic, strategic solutions that strengthen oversight, reduce provider burden, and prevent fraud.