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December 3, 2025
Recommendations for Mitigating Harms to People with Disabilities, Older Adults, and Caregivers from Medicaid Work Requirements
David Machledt and Jennifer Lav Issue Brief
*** Co-Authored with Natalie Kean, Jennifer Mathis, and Gelila Selassie The One Big Beautiful Bill Act (OBBBA) establishes unprecedented work requirements in Medicaid expansion. Prior experience has shown that people with disabilities, older adults, and caregivers who should be exempted from work requirements often lose coverage or are denied…
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December 1, 2025
Medicaid Work Requirements: Mitigating Harm through Implementation
David Machledt Issue Brief
This piece provides an overview of the structure of the new Medicaid work requirement and recommends how states can choose policies that lessen the negative effects of this new requirement. Recommendations include reducing administrative burden for states and individuals through streamlined compliance procedures, ensuring that health and functional status…
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May 9, 2024
[Webinar] The Biden Administration’s Final Rule on Section 1557 of the Affordable Care Act: What You Need to Know
Mara Youdelman, Jennifer Lav, Madeline Morcelle, and Wayne Turner Webinar
The final Section 1557 regulation was recently released by the Office for Civil Rights. Implementing Section 1557 of the Affordable Care Act, the rule prohibits discrimination in healthcare based on race, ethnicity, language, age, disability, sex, sexual orientation, and gender identity. NHeLP staff will provide an overview of what's…
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May 9, 2024
Questions and Answers on the 2024 Final Rule Addressing Nondiscrimination Protections under the ACA’s Section 1557
Mara Youdelman, Madeline Morcelle, Wayne Turner, and Jennifer Lav Issue Brief
The Biden Administration finalized updates to the regulations implementing Section 1557 of the Affordable Care Act. Section 1557 prohibits discrimination on the basis of race, color, national origin, age, disability, or any combination thereof. This issue brief provides background on Section 1557 and analyzes the 2024 final regulations issued…
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August 11, 2023
Medicaid Eligibility Call Centers: Questions for LEP & Disability Access
Elizabeth Edwards and Mara Youdelman Issue Brief, Fact Sheet
Call centers are often the primary way that Medicaid enrollees interact with the Medicaid agency. During the unwinding of the Medicaid continuous coverage period, people are often relying on the Medicaid call centers for answers to questions, to submit requested information, file appeals, and otherwise receive assistance. But call…
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November 1, 2022
Joint comment letter: Temporary Increase in Federal Medical Assistance Percentage (FMAP) in Response to the COVID–19 Public Health Emergency (PHE); Reopening of Public Comment Period
Miriam Delaney Heard and Wayne Turner Comments
In the last days of the Trump administration, the Centers for Medicare & Medicaid Services (CMS) finalized an Interim Final Rule (IFR) that creates exceptions to the Medicaid continuous coverage requirements in the Families First Coronavirus Response Act. The IFR allows states to reduce benefits and terminate eligibility in…
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Recommendations for Mitigating Harms to People with Disabilities, Older Adults, and Caregivers from Medicaid Work Requirements

Medicaid Work Requirements: Mitigating Harm through Implementation

[Webinar] The Biden Administration’s Final Rule on Section 1557 of the Affordable Care Act: What You Need to Know

Questions and Answers on the 2024 Final Rule Addressing Nondiscrimination Protections under the ACA’s Section 1557

Medicaid Eligibility Call Centers: Questions for LEP & Disability Access

Joint comment letter: Temporary Increase in Federal Medical Assistance Percentage (FMAP) in Response to the COVID–19 Public Health Emergency (PHE); Reopening of Public Comment Period