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- November 21, 2023
AMICUS: U.S. v. Florida, United States Court of Appeals for the Eleventh Circuit
Read moreNHeLP and the amici are pediatric experts and medical associations, a national philanthropic organization committed to advancing health equity, and family and disability advocates working for people with disabilities, including children with medically complex conditions. The brief focuses on literature concluding that the family home is the most appropriate…
- September 28, 2023
NHeLP Comments on US Pharmacopeia Drug Classification Update Draft for 2024
Read moreUnder federal rules, health plans subject to the Essential Health Benefits must cover a minimum of one drug per U.S. Pharmacopeia (USP) class and category. However, the USP classification system used for EHB was designed for Medicare Part D, and falls short on covering pediatric formulations, drugs used for…
- September 28, 2023
Foster Youth Access to Medi-Cal Specialty Mental Health Services in the California Counties with the Largest Foster Care Populations
Carly Myers, Alexis Robles-Fradet, Abigail Coursolle, and T. Nancy Lam Issue Brief, Manual/Report, Fact Sheet, GuideRead moreChildren and youth involved in child welfare have complex mental health needs, due in part to their compounding experiences with trauma and often inadequate access to appropriate services. In California, the State’s Medicaid program (Medi-Cal) provides a critical safety net for foster children and youth. Under Medi-Cal, County Mental…
- September 25, 2023
NHeLP Letter to CCIIO on Legal Authorities and Regulatory Changes for Essential Health Benefits
Read moreIn this letter to the HHS Center for Consumer Information and Insurance Oversight (CCIIO), NHeLP urges changes in regulations governing Essential Health Benefits (EHB). As NHeLP points out, nothing in the Affordable Care Act precludes HHS from adding adult oral health as part of the department's statutory responsibility to…
- September 18, 2023
EPSDT’s Legal Landscape & Implementation History
Amanda Avery and Jane Perkins Court Document, Health Advocate, Regulations and Laws, Fact Sheet, Case ExplainerRead moreThis Fact Sheet provides essential information to help advocates become EPSDT experts. After giving an overview to EPSDT, we focus on: (1) legislative milestones; (2) notable federal agency guidance; and (3) precedent-setting cases from the judiciary. Next, we provide a snapshot of states’ performance implementing EPSDT, using government reports…
