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  • Fact Sheet: What is a Per Capita Cap?

    The incoming administration and the forthcoming conservative majorities in Congress are advocating changes to Medicaid intended to greatly limit the intent of Medicaid and its scope. One tool being proposed by the politically conservative majorities is something called a "per capita cap." NHeLP, which fights to preserve and bolster…

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  • Protect Our Care Launched to Fight Health Care Repeal

    External Source

    The National Health Law Program joined with other national health care and social and economic justice groups to fight President-elect Trump and Congress in their reckless effort to repeal the Affordable Care Act (ACA), with no plans to ensure or improve upon the health care rights protected by the…

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  • Amicus Brief: Planned Parenthood of Kansas and Mid-Missouri v. Mosier

    NHeLP and other health care and women's advocates filed a friend-of-the-court brief with the U.S. Court of Appeals for the Tenth Circuit urging it to affirm a federal district court's ruling that Kansas was violating the Medicaid Act's free choice of provider provision, by barring federal funding of state…

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  • Fact Sheet: Utilization Controls for Medicaid Prescription Drugs

    Abbi Coursolle

    State Medicaid programs that elect to provide outpatient prescription drug coverage must cover all FDA-approved drugs that are offered by a manufacturer that agrees to provide rebates. Nevertheless, states have substantial discretion to use utilization control techniques to steer Medicaid beneficiaries toward or away from certain drugs, within limits.…

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  • Fact Sheet: Medicaid Outpatient Prescription Drugs

    Prescription drug coverage is an important facet of the Medicaid program. Although an optional benefit, all states cover outpatient prescription drugs in their Medicaid programs.This fact sheet provides an overview of Medicaid outpatient prescription drug coverage, including: federal minimum requirements, state restrictions on prescription drug access, and special rules…

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  • Lessons from California: Nov

    While Nov. 8 statewide elections in California brought the passage of a number of positive health care related initiatives, the looming Trump administration poses serious threats to health care in California and the nation, writes Staff Attorney Amy Chen in this month's Lessons from California. "Today and in the years…

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