NC – DHHS Letter for changes coming in October, can anyone explain what it means in plain English?

The letter uses a lot of jargon and I just don't know what it really means for someone who has Medicaid in NC. I don't really know the behind the scenes of how Medicaid works and I'm confused by some of the verbiage. The clearest portion is about no longer covering weight loss drugs, which is mostly what news media say. Any help would be appreciated.

Link to the letter:

https://ojcdegcab.cc.rs6.net/tn.jsp?f=001uAewfF-OeCiqDR2fV69CRJhT0WXuZkL34CcbOAqg7_WlAfvmPMRmqDv_tDJNbc10YpbeBnzzNdnr1PI5PNN8trvsJYuMZ_2VVHvhJUdOO4CMdxg98Y18Lm1LVJ_p5lhTH49sGHSLsyyXGuj0kYsFBdMYAUUORNKxhgTkxbC4Eok5JXAjj50p_IEjLXfq0ZIopwfIiGd_B_mAmCjNR-xuHiK58vGLzEosMWX8XSVHdx4=&c=OjBs54UJTjQK_TNJzzYmrCAREQvOAhvB_1i27CQIt2Xdx92E5HAcwg==&ch=p1RUJNRhs15jnOon1HynKI7hVSAACYkCnWttqssszfPs_LaCKrjGVw==