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- May 20, 2024
[Webinar] Medicaid Advisory Committees: Regulatory Changes and Challenges
Read moreAlthough MCACs have been federally required for nearly 40 years, some states have seriously underutilized this important opportunity to monitor and improve their Medicaid programs. The recently release Medicaid Access Rule makes significant changes to renamed Medicaid Advisory Committees (MACs), including a new requirement that 25% of members be…
- May 9, 2024
Questions and Answers on the 2024 Final Rule Addressing Nondiscrimination Protections under the ACA’s Section 1557
Read moreThe Biden Administration finalized updates to the regulations implementing Section 1557 of the Affordable Care Act. Section 1557 prohibits discrimination on the basis of race, color, national origin, age, disability, or any combination thereof. This issue brief provides background on Section 1557 and analyzes the 2024 final regulations issued…
- March 12, 2024
Pharmacy Billing for Contraception
Read moreThis white paper provides an overview of the systemic and individual payer-based barriers to full implementation of pharmacist prescribing policies. Barriers analyzed include the division of medical and pharmacy benefits, complex billing technology, the constant need for payer guidance, and lack of clarity from agencies within the U.S. Department…
- December 5, 2023
Response to RFI on Coverage of OTC Preventative Services (specifically contraception)
Read moreNHeLP's comments in response to the Department of the Treasury, the Department of Labor, and the Department of Health and Human Services request for information regarding coverage of OTC preventative services. Our comments are focused on access to OTC contraception and stress the potential equity, economic, and overall health…
- 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…
