Author archive for Shandra Hartly

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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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July 21, 2025
A Cut by Any Other Name: How “Strengthening” Asset Tests Hurts Medicaid
Shandra Hartly Fact Sheet
Medicaid asset tests hurt enrollment, waste state resources, discourage financial stability, and have a discriminatory impact on people of color, older adults, and individuals with limited English proficiency. But despite the established harms of asset tests, efforts to apply them more broadly and to make them more restrictive have…
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May 16, 2025
Top 10 Ways the House Republicans’ Reconciliation Bill Will Harm People with Disabilities
Brit Vanneman, Shandra Hartly, Dania Douglas, and Cat Duffy Fact Sheet
*This article discusses the GOP reconciliation package, officially called the One Big Beautiful Bill Act, and its implications for Medicaid and health care access. The bill passed by the House Energy and Commerce Committee undermines essential supports for people with disabilities. By slashing Medicaid funding and imposing administrative hurdles,…
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Author archive for Shandra Hartly

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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

A Cut by Any Other Name: How “Strengthening” Asset Tests Hurts Medicaid

Top 10 Ways the House Republicans’ Reconciliation Bill Will Harm People with Disabilities