What if your state's Medicaid program was quietly punishing health-care providers for following the law? On The Jenny Beth Show, Noah Wall — founder of the State Leadership Initiative — reveals exactly that: a Georgia Medicaid contract that penalized providers for saying they would notify parents when a child sought to change their gender, as Georgia law requires.
Wall explains how a single Washington-based association, the National Association of Medicaid Directors, helped shape that contract — and how decisions like it happen far below the governor's office, where political appointees never see them. It's a textbook case of what Wall calls the shadow government: unelected associations setting policy that never reaches the legislature.
In this clip:
- The Georgia Medicaid contract and the question that penalized following state law
- How associations shape policy below the radar
- Why your governor may have no idea it's happening
- What states can do to take control back
Jenny Beth Martin is co-founder of the Tea Party movement and Chairman of Tea Party Patriots Action. Make your voice heard — reach your representatives through the Capitol switchboard at 202-224-3121.
Read the reports at stateleadership.org. Learn more at jennybethshow.com and teapartypatriots.org.
00:00 — 25 associations, none centrist
00:23 — Why they push progressive values nationwide
01:42 — The Georgia Medicaid report
02:13 — The RFP's hidden political question
03:03 — Policy that never reaches the legislature
03:34 — Why states should withdraw
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