As implementation of the One Big Beautiful Act (H.R. 1) moves forward, changes to Medicaid financing and eligibility are drawing close attention from policy experts. For Sarah Miller, Ph.D., an associate professor of business economics and public policy at U-M who studies guaranteed income for families, H.R. 1 presents significant challenges. In this Expert Q&A with the Institute for Healthcare Policy and Innovation, Miller discusses her ongoing research, the impact of H.R. 1 on Medicaid enrollees, and the implementation of Rx Kids in Michigan.