A fierce debate rages over the Big, Beautiful Bill (BBB) and its impact on Medicaid beneficiaries. While House Speaker Mike Johnson recently claimed millions "will not lose their Medicaid unless they choose to do so," the reality is the bill’s work requirements will create administrative barriers that will result in coverage losses due to poorly informed Medicaid beneficiaries. These communication barriers can be addressed by modifications to the Telephone Consumer Protection Act (TCPA) .

The TCPA, a decades-old law governed by the Federal Communications Commission (FCC), prohibits automated text messages without prior consent. The law has created a culture of confusion and risk aversion in healthcare administration . Healthcare administrators like lawyers and complian

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