Author archive for Shandra Hartly

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July 15, 2026
NHeLP Comments on Essential Health Benefits (EHB) RFI
Héctor Hernández-Delgado, Wayne Turner, Shandra Hartly, and Alexis Robles-Fradet Comments
The essential health benefits (EHB) are an important protection in the Affordable Care Act to ensure that health plans provide comprehensive benefits. NHeLP urges HHS to improve upon the current EHB standards and expand access to care, while preserving state flexibility to add or improve benefits to meet the…
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December 3, 2025
Checking All the Boxes: A Survey of Medical Frailty Definitions in Alternative Benefit Plans and Section 1115 Work Requirements Demonstrations
Shandra Hartly Issue Brief
Individuals who are considered medically frail have traditionally been subject to different eligibility and coverage rules in the Medicaid program. Most recently, H.R. 1 exempted medically frail individuals from new work requirement imposed on Medicaid expansion populations. This survey provides information on the use of medical frailty in the…
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June 25, 2025
The Punitive ACA Marketplace Rule Rolls Back Progress Toward Marketplace Access and Affordability
Alicia Emanuel and Shandra Hartly Uncategorized
The marketplace “integrity and affordability” rule, which the U.S. Department of Health and Human Services (HHS) finalized on June 20, 2025, will roll back over a decade of work to expand access to health coverage and improve health care affordability. The rule implements new eligibility criteria that restricts access…
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Author archive for Shandra Hartly

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NHeLP Comments on Essential Health Benefits (EHB) RFI

Checking All the Boxes: A Survey of Medical Frailty Definitions in Alternative Benefit Plans and Section 1115 Work Requirements Demonstrations

The Punitive ACA Marketplace Rule Rolls Back Progress Toward Marketplace Access and Affordability