Section 1115 Medicaid waivers allow states to explore new options for providing health coverage to persons who would otherwise not be eligible and allow states to examine innovative ways to deliver care by waiving certain requirements of the Medicaid Act.
While waivers can be important tools that can help states respond to the needs of low-income individuals, they also present concerns for health advocates working to protect the rights of Medicaid enrollees and promote transparency in state waiver processes.
Sec. 1115 of the Social Security Act allows the Secretary of Health and Human Services to waive some requirements of the Medicaid Act so that states can test novel approaches to improving medical assistance for low-income people.
Under the current administration, several states are seeking waivers to impose harmful cuts and restrictions. The first set of harmful waivers have been approved for Kentucky and Arkansas, with a number of states seeking to enact similar changes to Medicaid. Learn more about Medicaid waivers and how the National Health Law Program is combating the Trump administration’s illegal use of waivers to weaken Medicaid.
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- August 13, 2019
NHeLP comments on proposed rulemaking for Section 1557 – Nondiscrimination in Health and Health Education Programs or Activities
Section 1557 of the Affordable Care Act provides important protections against discrimination in health care programs and activities based on race, color, immigration status, language proficiency, sex, sex stereotypes, gender identity, age, or disability. However, the Trump administration is seeking to rollback regulations that help implement the law. In comments submitted to the U.S. Department of Health and Human Services, NHeLP urges the administration to withdraw the proposed rule and uphold strong nondiscrimination protections and enforcement.The proposed rule would eliminate the current regulatory protections against discrimination based on gender identity and sex stereotyping. It would also block patients from obtaining critical health care information by no longer requiring non-English "taglines" telling patients that information is available in languages other than English, and increase the stigma and shame surrounding reproductive care (including abortion). Section 1557 and the 2016 implementing regulations prohibit health insurance companies from discriminating through marketing practices and benefit design. However, the proposed rule seeks to exempt most health insurance plans from Section 1557’s nondiscrimination protections. In addition, it eliminates the regulation prohibiting discriminatory benefit design and marketing. Eliminating these regulatory provisions may make it harder for people who experience discrimination to enforce their rights through administrative and judicial complaints.