Eligibility & Enrollment Archive

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September 24, 2025
New Medicaid Work Requirements: How Managed Care Plans Can Help
Abigail Coursolle Uncategorized
Beginning January 1, 2027, OBBBA requires adults covered under the Medicaid expansion population to participate in mandatory work activities or show they are exempt. These work requirements will force Medicaid beneficiaries to show that they participate in one or more required work-related activities for 80 hours per month. Activities…
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September 18, 2025
State Options to Implement Provisions of the Eligibility and Enrollment Final Rule Post-OBBBA
Shandra Hartly Fact Sheet
This chart provides information about the status of each provision of the 2024 Eligibility and Enrollment Final Rule following the enactment of the “One Big Beautiful Bill” Act, which partially blocks implementation and enforcement of some of the rule until September 30, 2034. It also provides an overview of…
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August 21, 2025
Eligibility and Enrollment Provisions in OBBBA
Katy DeBriere, Shandra Hartly, and Jules Lutaba Fact Sheet
The so-called “One Big Beautiful Bill” Act, hereinafter referred to as “OBBBA”, negatively impacts eligibility and enrollment for Medicaid and Marketplace applicants and enrollees in a myriad of ways. OBBBA restricts access to Medicaid and Marketplace eligibility, imposes administrative barriers that make it harder to enroll in and retain…
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August 13, 2025
The Marketplace Final Rule Rolls Back Access to Marketplace Coverage and Affordability
Geraldine Doetzer, Alicia Emanuel, Shandra Hartly, Héctor Hernández-Delgado, and Wayne Turner Issue Brief
On June 20, 2025, the Department of Health and Human Services (HHS) finalized a marketplace rule, hereinafter referred to as the Marketplace Final Rule, that restricts access to marketplace coverage and affordability programs under the Affordable Care Act (ACA). This issue brief discusses the key eligibility, enrollment and affordability…
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July 31, 2025
The Trump Administration Will Derail Covered California’s Exchange and Californians Will Pay the Price
Alicia Emanuel Uncategorized
For over a decade, Covered California has been a leader among states in expanding access to comprehensive, affordable coverage. During the 2025 open enrollment period, Covered California reached a record breaking enrollment of 1.9 million enrollees. This success is now being derailed by the current federal administration. In June…
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July 29, 2025
AMICUS: Idaho Department of Health and Welfare v. Centers for Medicare & Medicaid Services
Jane Perkins and Catherine McKee Cases
The Medicaid Act gives states the option to provide 12 months of continuous coverage to beneficiaries after the end of their pregnancies. Idaho submitted a state plan amendment to take up the option, but with a twist: the State sought to exclude beneficiaries whose pregnancies ended due to an…
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New Medicaid Work Requirements: How Managed Care Plans Can Help

State Options to Implement Provisions of the Eligibility and Enrollment Final Rule Post-OBBBA

Eligibility and Enrollment Provisions in OBBBA

The Marketplace Final Rule Rolls Back Access to Marketplace Coverage and Affordability

The Trump Administration Will Derail Covered California’s Exchange and Californians Will Pay the Price

AMICUS: Idaho Department of Health and Welfare v. Centers for Medicare & Medicaid Services