Cost Sharing and Premiums Archive

Submit site search
results in Cost Sharing and Premiums.
  • AMICUS: Georgia v. Brooks-LaSure,Southern District of Georgia, Brunswick Division

    Litigation Team

    In late 2021, the Centers for Medicare & Medicaid Services rescinded its 2020 approval of work requirements and premiums in Georgia. Georgia filed suit to challenge the withdrawal. The National Health Law Program, along with the Southern Poverty Law Center, Georgians for a Healthy Future, Georgia Legal Services Program,…

    Read more
  • Model Contraceptive Equity Act: Legislative Language and Issue Brief

    UPDATED - December 2021. Contraceptive Equity is a policy framework under which contraceptive care is easily accessible and covered at no cost in all health plans. This paper begins with the Model Contraceptive Equity Act legislative language that can serve as a template for state advocates. It concludes with…

    Read more
  • Young v. Azar, D.D.C.

    Four low-income individuals from Michigan enrolled in Medicaid filed a class action lawsuit against the Trump administration challenging its approval of Michigan’s Medicaid waiver project, which includes an illegal work requirement and allows Michigan to charge enrollees premiums and terminate coverage for failure to complete certain “healthy behaviors.” Partners: Center…

    Read more
  • Rose v. Azar, D.D.C.

    Litigation Team ,

    Indiana residents enrolled in Medicaid filed a lawsuit against the Trump administration challenging its extension of a Section 1115 project (HIP 2.0) allowing the State to condition Medicaid eligibility on compliance with work requirements. The approval also permits Indiana to charge enrollees premiums; terminate coverage and prohibit re-enrollment in…

    Read more
  • National Health Law Program Comments on HHS Safe Harbor Rule for Outpatient Prescription Drugs

    The U.S. Department of Health and Human Services (HHS) proposed new regulations that would remove safe harbor protections for prescription drug rebates. Currently, rebates paid by manufacturers to Medicare Part D plans and Medicaid managed care organizations (MCOs), including pharmacy benefit managers (PBMs) are shielded from federal anti-kickback laws.…

    Read more
  • Stewart v. Azar, D.D.C. and D.C. Circuit

    Litigation Team and

    Sixteen Kentuckians enrolled in Medicaid filed a class action lawsuit against the Trump administration challenging its approval of a section 1115 waiver, which would allow sweeping changes to Kentucky’s Medicaid program, including work requirements, premiums, lockouts, and other changes, that will terminate Medicaid coverage of tens of thousands of…

    Read more