July was a month about proof, and the providers who can document clean trips are pulling ahead. This month's Genie Journal Recap covers the regulatory, financial, and operational shifts shaping medical transportation, plus what each one means for providers. In this episode: Ohio SB 315 makes GPS-confirmed pickup, transport, and drop-off a condition of payment for NEMT, phasing in over 18 monthsIowa stands up a Medicaid Fraud Elimination Task Force with EVV in focus and a strategy due in 120 daysFederal officials defer more than $1 billion in Medicaid payments to California and Minnesota while documentation is verified (deferrals, not cuts)California raises its managed care tax to backfill Medi-Cal money, and Oregon weighs a broad spending adjustment while NEMT stays a mandatory benefitIllinois and Texas Blue Cross Medicaid plans move from Modivcare to MTM Health on October 1, plus leadership shuffles at both brokersThe FTA opens roughly $12 million in coordination funding at up to an 80% federal share, due September 9A DC robotaxi bill never mentions wheelchairs, and why that gap is a moat for accessible providersDeep Read: a Michigan State University study finds unreliable transportation a stronger predictor of missed care than illness itselfRouteGenie product news: passenger language support across 15 languages, and smarter per-position multi-load pricingChapters0:00 Intro0:22 July's theme: proof0:29 Ohio SB 315 and GPS-confirmed payment0:59 Iowa's Medicaid Fraud Elimination Task Force1:28 $1B+ in Medicaid deferrals (California, Minnesota)1:55 California's managed care tax and HR One2:19 Oregon's Medicaid gap2:49 Blue Cross drops Modivcare for MTM (IL and TX)3:23 MTM and Modivcare leadership moves3:49 FTA opens $12M in coordination funding4:31 The DC robotaxi bill and the accessibility gap5:06 Deep Read: transportation insecurity study5:50 Blog: 10 NEMT conferences worth attending in 20266:15 RouteGenie at NEMTAC Transform, Booth 2286:32 Product news: 15-language passenger support6:54 Product news: smarter multi-load pricing7:20 Wrap-up Full breakdown and source links: The RouteGenie Journal → https://go.routegenie.com/newsletterBlog mentioned: https://routegenie.com/blog/nemt-conferencesSee us in person: RouteGenie at Booth 228, NEMTAC Transform, August 16–19, JW Marriott Orlando Grande Lakes Sources this month: Ohio and Iowa governors' offices, Axios, the Associated Press, Mercury News, Oregon Public Broadcasting, Blue Cross Blue Shield of Illinois, Newswire, Business Wire, Tech Times, Electrek, and a Michigan State University study in the journal Sustainability.