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- August 6, 2026
State-mandated benefits and ACA defrayal obligations
Read moreStates have historically addressed gaps in health care coverage by requiring insurers to cover specific benefits. However, under the Affordable Care Act (ACA), states must defray the cost of newly enacted state benefit mandates that apply to Qualified Health Plans (QHPs). This issue brief provides an overview of the…
- July 15, 2026
NHeLP Comments on Essential Health Benefits (EHB) RFI
Read moreThe 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…
- June 15, 2026
NHeLP Comments on Proposed 2028 Medicaid Home and Community-Based Services Quality Measure Set
Read moreThese comments offer NHeLP's general support for the HCBS Quality Measure Set, but express some concerns related to a proposal to remove two mandatory measures related to measuring community inclusion and integration, the failure to require states to report certain measures stratified by race and ethnicity, and the divergence…
- June 8, 2026
Know Your Rights: Access to Health Care for TGI Californians
Read moreRecent Federal Executive Orders have purported to limit coverage of gender-affirming care, especially for Transgender, Gender Diverse, and Intersex (TGI) people, especially youth. Several of these Executive Orders have been challenged in the courts, and parts of them have been enjoined. There is no change to the law in…
- December 22, 2025
Prohibited Discrimination under Section 1557 of the Affordable Care Act
Read moreSection 1557 generally prohibits different treatment (also referred to as “intentional discrimination”) and discriminatory effects (also referred to as “disparate impact”). These theories recognize that discrimination shows up in many forms — sometimes there may be an explicit reference to categorization on the basis of a protected identity, but…
- November 19, 2025
Public Comments on Model Medicare Advantage and Medicare Prescription Drug Plan Individual Enrollment Request Form (CMS-10718)
Read moreThe National Health Law Program submits comments in opposition to the Center for Medicare and Medicaid Services decision to remove voluntary racial, ethnic, and sexual orientation and gender identity data questions from the Model Medicare Advantage and Medicare Prescription Drug Plan Individual Enrollment Request Form, as well as the…
