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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- July 23, 2013
INTRODUCTION Background The American College of Obstetricians and Gynecologists (ACOG), District IX (California) initiated a project in 2004 to explore approaches employed by its physician members to communicate with patients with limited (LEP) or no English language proficiency. The project employed a series of focus groups of physicians and consumers and a survey of District IX?s membership to catalogue physician language access strategies and attitudes across a variety of practice settings. Focus group and survey findings and the results of a literature search were analyzed by the project?s Advisory Panel. The Panel then generated practice and policy recommendations to promote use of language access practices that ensure accurate interpretation, confidentiality, and adherence to medical ethics standards, while discouraging use of inappropriate methods. --------------------------------------------------------------------------------Text has been truncated. For full publication text, download document.
- July 23, 2013
Medicare prescription drug plans are required to provide multi-lingual services to Limited English Proficient (LEP) persons. Many beneficiaries have reported, however, that such services are unavailable. The California Medicare Part D Language Access Coalition, led by the National Senior Citizens Law Center, designed and conducted a survey to assess Medicare prescription drug plan call center service to LEP populations. This report summarizing the survey results identifies numerous shortcomings in plan performance, including that plans only serve LEP beneficiaries in their primary language 55% of the time, and only 37% for non-Spanish speakers.
- July 23, 2013
This paper describes principles that should underly health care reform proposals in California, to ensure that women's unique needs are fully incorporated.