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April 14, 2022
NHeLP comments on Oregon’s application for renewal of the Oregon Health Plan § 1115(a) Demonstration Waiver for 2022-2027
Sarah Somers and Wayne Turner Comments
In public comments, NHeLP expresses support for Oregon's decision to abandon its waiver of EPSDT. However, NHeLP strongly opposes Oregon's proposal to exclude outpatient prescription drugs approved under the FDA's accelerated approval pathway. Denying Medicaid enrollees access to effective break-through therapies would harm people with serious or life-threatening medical…
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April 8, 2022
More Transparency Needed to Ensure Medicaid Beneficiaries Have Access to Necessary Off-Label Prescription Drugs
Abigail Coursolle Issue Brief
Under federal law, state Medicaid programs are required to cover (with a few exceptions) outpatient prescription drugs for “medically accepted indications.” Medically accepted indications are both those that are included on the drug’s label by the FDA as part of the approval process, and certain “off-label” uses.Medicaid programs are…
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April 4, 2022
Asynchronous telehealth in states that cover abortions for Medicaid beneficiaries
Fabiola De Liban Fact Sheet
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February 11, 2022
NHeLP letter to HHS Sec. Becerra – Re: Advancing Health Equity Through Essential Health Benefits
Wayne Turner, Héctor Hernández-Delgado, and Fabiola De Liban Letter
The Affordable Care Act (ACA) established a comprehensive set of ten Essential Health Benefits (EHB) that most health plans must cover. However, regulations allowing states to define EHB through a benchmarking process have lead to inconsistent and inadequate coverage. In this letter to HHS Secretary Xavier Becerra, NHeLP urges…
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February 8, 2022
Statement for the Record to the United States Senate Committee on Finance on Youth Mental Health
Jennifer Lav Testimony
NHeLP submitted a statement for the record to the Senate Finance Committee on approaches to improve coverage and services for youth with mental health conditions. The statement offers policy options in three areas where additional legislation, oversight, or guidance would further the Senate Finance Committee’s priority of improving behavioral…
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February 4, 2022
Coverage of Over-the-Counter Drugs in Medicaid (Revised February 2022)
Abigail Coursolle and Liz McCaman Taylor Issue Brief, Fact Sheet
Drug coverage is an important facet of the Medicaid program. Although it is an optional benefit, all states cover outpatient prescription drugs in their Medicaid programs. States have significantly more leeway, however, in whether they cover over-the-counter (OTC) drugs. This Fact Sheet provides an overview of Medicaid rules for…
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NHeLP comments on Oregon’s application for renewal of the Oregon Health Plan § 1115(a) Demonstration Waiver for 2022-2027

More Transparency Needed to Ensure Medicaid Beneficiaries Have Access to Necessary Off-Label Prescription Drugs

Asynchronous telehealth in states that cover abortions for Medicaid beneficiaries

NHeLP letter to HHS Sec. Becerra – Re: Advancing Health Equity Through Essential Health Benefits

Statement for the Record to the United States Senate Committee on Finance on Youth Mental Health

Coverage of Over-the-Counter Drugs in Medicaid (Revised February 2022)