 Dr. Kuy served from 2016-2017 as Chief Medical Officer for Medicaid for the state of Louisiana.During this period, she led efforts tackling the opioid epidemic in Louisiana, including enacting Medicaid policies to align opioid prescribing to CDC guidelines, resulting in a 40% reduction in opioid prescriptions among Louisiana Medicaid patients.In 2017, Dr. Kuy was appointed associate chief of staff at the Michael E. DeBakey Veterans Affairs Medical Center in Houston.