Each year, the National Health Law Program (NHeLP) spends the month of April celebrating the lifesaving program that is Medicaid. Medicaid provides quality health care to more than 80 million people in the nation. Below is a curated selection or resources and cases we believe highlight our advocacy over the past year.
- October 20, 2026
OBBBA Piece-by-Piece: A Closer Look at Volunteering as a Qualifying Work Activity
Gaby Jara-BenitezOn June 1, 2026, the Centers for Medicare & Medicaid Services (CMS) released a major Interim Final Rule (IFR)…
- October 6, 2026
OBBBA Piece-by-Piece: Combining Hours and Income to Meet Work Requirements
Becca FriedmanOn June 1, 2026, the Centers for Medicare & Medicaid Services (CMS) released a major Interim Final Rule (IFR)…
- October 3, 2026
Supplemental Technical Guidance for States to Reduce Harms from Medicaid Work Reporting Requirements
Benefits Tech Advocacy HubThe June 2026 work requirements IFR created many new implementation considerations for states. In this guide, the Benefits Tech…
- September 24, 2026
State Advocates’ Guide to OBBBA Oversight Advocacy in a Changing Environment
Kaylan Szafranski and Elizabeth EdwardsThis resource is a collaboration between Community Catalyst and the National Health Law Program. The tight timeline for states…
- September 10, 2026
Timeline Charts of Changes to Medi-Cal and Covered California Under OBBBA and the California Budget
Skyler Rosellini and Alicia EmanuelH.R. 1, also known as the “One Big Beautiful Bill Act,” (OBBBA) cuts approximately $1 trillion from Medicaid which…
- August 3, 2026
NHeLP Comments | Work Requirement IFR
National Health Law Program (NHeLP)Medicaid work requirements do not increase employment. Instead, they result in substantial coverage loss which, in turn, leads to…
- July 15, 2026
Using State MACS/BACS to Monitor OBBBA Work Requirement Implementation
Miriam Delaney HeardMedicaid Advisory Committees (MACs) and/or Beneficiary Advisory Councils (BACs) provide a meaningful opportunity for stakeholders and enrollees to engage…
- July 13, 2026
Medicaid Work Requirements Do Not Apply to Foster Youth and Former Foster Youth Up to Age 26
Carly MyersH.R. 1, also known as the “One Big Beautiful Bill Act” (OBBBA), requires certain adult Medicaid enrollees to participate…
- June 2, 2026
Using the Affordable Care Act’s “Community Benefit” to Support Individuals Subject to Medicaid Work Requirements
Katy DeBriere and Jane PerkinsAs states move to implement Medicaid work requirements, low-income enrollees will face barriers to maintaining health coverage. Nonprofit hospitals…
- May 14, 2026
NHeLP Comments on Idaho 1332 Waiver Application
Geraldine Doetzer, Wayne Turner, and Shandra HartlyNHeLP submitted comments opposing Idaho's recent State Innovation (Section 1332) waiver application, which would establish a program allowing certain…
- May 11, 2026
Recommendations for State Reporting of Work Requirement Outcomes: Do’s and Don’ts
David Machledt and Skyler RoselliniMillions of people eligible for or enrolled in the adult Medicaid expansion program are at risk of losing access…
- February 23, 2026
State Implementation of Medicaid Work Requirements | Guidelines for Public Records Requests
Katy DeBriere and Elizabeth EdwardsThe template provides guidelines and suggested language advocates can use to submit public records requests to their states to…
- February 18, 2026
OBBBA and Implications for Pregnancy Coverage, Pregnant People, and Birthing-Capable People
Amy ChenThis FAQ shares how the One Big Beautiful Bill Act (OBBBA) will impact Medicaid enrollees who are or who…
- February 9, 2026
Advocates’ Timeline for State Work Requirement Implementation
Katy DeBriere, Elizabeth Edwards, and Shandra HartlyAdvocates and state Medicaid agencies face a rapid implementation timeline for Medicaid work requirements established by the so-called One…
- January 20, 2026
Medicaid Work Requirements & Due Process Q&A Series — Notice
Amanda Avery and Katy DeBriereDue process will be central to mitigating the significant coverage loss that will occur as states implement Medicaid work…
- January 12, 2026
A Technical Guide for States to Reduce Procedural Terminations from Medicaid’s Work Reporting Requirements
Shandra HartlyUsing automation to facilitate OBBBA implementation will be imperative in mitigating the immense burden of the law’s new Medicaid-related…
- December 3, 2025
Checking All the Boxes: A Survey of Medical Frailty Definitions in Alternative Benefit Plans and Section 1115 Work Requirements Demonstrations
Shandra HartlyIndividuals who are considered medically frail have traditionally been subject to different eligibility and coverage rules in the Medicaid…
- December 3, 2025
Recommendations for Mitigating Harms to People with Disabilities, Older Adults, and Caregivers from Medicaid Work Requirements
David Machledt and Jennifer Lav*** Co-Authored with Natalie Kean, Jennifer Mathis, and Gelila Selassie The One Big Beautiful Bill Act (OBBBA) establishes unprecedented…
- December 1, 2025
Medicaid Work Requirements: Mitigating Harm through Implementation
David MachledtThis piece provides an overview of the structure of the new Medicaid work requirement and recommends how states can…
- November 20, 2025
Got Your (Work) Number: The Intersection of Medicaid Eligibility Data Sources and Work Requirements
Shandra HartlyEffective data matching will be an integral part of minimizing the harm associated with OBBBA's work requirements. This resource…
