Author archive for Shandra Hartly

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January 12, 2026
A Technical Guide for States to Reduce Procedural Terminations from Medicaid’s Work Reporting Requirements
Shandra Hartly Manual/Report
Using automation to facilitate OBBBA implementation will be imperative in mitigating the immense burden of the law’s new Medicaid-related policies. But this technology must be used responsibly in order to preserve coverage to the maximum extent possible. In this guide, the Benefits Tech Advocacy Hub (a joint effort of…
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November 20, 2025
Got Your (Work) Number: The Intersection of Medicaid Eligibility Data Sources and Work Requirements
Shandra Hartly Issue Brief
Effective data matching will be an integral part of minimizing the harm associated with OBBBA's work requirements. This resource provides a brief overview of existing ex parte verification requirements and common sources used for ex parte verification, and emphasizes that those sources should be used with care to minimize…
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September 18, 2025
State Options to Implement Provisions of the Eligibility and Enrollment Final Rule Post-OBBBA
Shandra Hartly Fact Sheet
This chart provides information about the status of each provision of the 2024 Eligibility and Enrollment Final Rule following the enactment of the “One Big Beautiful Bill” Act, which partially blocks implementation and enforcement of some of the rule until September 30, 2034. It also provides an overview of…
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September 8, 2025
Webinar: How to Prepare for Medicaid Work Requirements
Shandra Hartly, David Machledt, and Madeline Morcelle Webinar
On July 4th, President Trump signed the so-called "One Big Beautiful Bill Act" (OBBBA) into law, enacting the most sweeping and harmful Medicaid cuts in U.S. history. Medicaid work requirements -- the OBBBA's largest Medicaid cut -- will gut health care access for millions of Medicaid expansion and partial…
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August 21, 2025
Eligibility and Enrollment Provisions in OBBBA
Katy DeBriere, Shandra Hartly, and Jules Lutaba Fact Sheet
The so-called “One Big Beautiful Bill” Act, hereinafter referred to as “OBBBA”, negatively impacts eligibility and enrollment for Medicaid and Marketplace applicants and enrollees in a myriad of ways. OBBBA restricts access to Medicaid and Marketplace eligibility, imposes administrative barriers that make it harder to enroll in and retain…
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August 13, 2025
The Marketplace Final Rule Rolls Back Access to Marketplace Coverage and Affordability
Geraldine Doetzer, Alicia Emanuel, Shandra Hartly, Héctor Hernández-Delgado, and Wayne Turner Issue Brief
On June 20, 2025, the Department of Health and Human Services (HHS) finalized a marketplace rule, hereinafter referred to as the Marketplace Final Rule, that restricts access to marketplace coverage and affordability programs under the Affordable Care Act (ACA). This issue brief discusses the key eligibility, enrollment and affordability…
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Author archive for Shandra Hartly

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A Technical Guide for States to Reduce Procedural Terminations from Medicaid’s Work Reporting Requirements

Got Your (Work) Number: The Intersection of Medicaid Eligibility Data Sources and Work Requirements

State Options to Implement Provisions of the Eligibility and Enrollment Final Rule Post-OBBBA

Webinar: How to Prepare for Medicaid Work Requirements

Eligibility and Enrollment Provisions in OBBBA

The Marketplace Final Rule Rolls Back Access to Marketplace Coverage and Affordability