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- August 1, 2023
Institutions for Mental Diseases (IMD) Exclusion and Substance Use Disorders: Lay of the Land
Read moreThe Medicaid Act prohibits the use of federal funding for services provided in Institutions for Mental Diseases (IMDs). In response to the overdose epidemic, two competing pathways have been implemented that allow states to circumvent the IMD exclusion: the SUPPORT Act's state plan amendment (SPA) option and the use…
- August 1, 2023
Case Explainer: Health & Hospital System of Marion Co., Indiana v. Talevski
Read moreIn Health and Hospital System of Marion County, Indiana v. Talevski, the Supreme Court addressed whether provisions of federal safety net programs can be enforced by individuals pursuant to 42 U.S.C. § 1983 and, if so, whether individuals can enforce provisions of the Medicaid Nursing Home Reform Act. The…
- July 31, 2023
Roadmap for State Pharmacy Access Laws
Read moreThis is a roadmap for state advocates, policymakers, and other stakeholders to understand how best to achieve legislation, state plan amendments, regulation, and other guidance that allow for pharmacist prescribing and pharmacy access for reproductive and sexual health medications, primarily self-administered contraceptives. *Liz McCaman Taylor is a former Senior…
- July 19, 2023
Statement for the Record to the House Committee on Oversight and Accountability, Subcommittee on Health Care and Financial Services on DACA and Health Coverage
Read moreNHeLP submitted a statement for the record to the House Committee on Oversight and Accountability, Subcommittee on Health Care and Financial Services on the importance of ending the unjustifiable exclusion of DACA recipients from eligibility to coverage under certain CMS health insurance affordability programs. The statement addresses how the…
- July 14, 2023
Comments on Proposed Medicaid Managed Care Access Rule
Read moreCMS proposed a major administrative rule that would increase transparency in managed care; improve monitoring and assure adequacy of payments in managed care; increase accountability, transparency, and participant input into external quality review; and help states to make information about quality measures widely available. NHeLP filed comments in support…
- July 13, 2023
Comments on Proposed Medicaid Access Rule
Jennifer Lav, Wayne Turner, David Machledt, Abigail Coursolle, Dania Douglas, Charly Gilfoil, Jasmine Young, and Madeline Morcelle CommentsRead moreCMS proposed changes and additions to regulations enforcing the "equal access" provision of Medicaid. These changes would strengthen opportunities for enrollees' input and oversight of state Medciaid programs, would help promote access to Medicaid services, would improve quality of care, and promoting transparency and adequate payment for fee-for-service Medicaid.…
