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- September 17, 2026
CA Coverage Snapshots: Covered California Changes
Read moreTwo of California’s main health care programs, Medi-Cal and Covered California, are facing significant changes over the next several years that will impact eligibility and access to benefits. These changes are a result of federal actions, including H.R. 1 (also known as the so-called “One Big Beautiful Bill Act”),…
- September 11, 2026
Medicaid Application & Renewal Guide for Immigration Attorneys
Read moreThe draconian Medicaid cuts in H.R. 1 (also called "OBBBA") place even more restrictions on coverage for immigrants who are lawfully present and these changes will, no doubt, sow confusion in state Medicaid agencies. This guide is designed to assist immigration advocates and attorneys navigate the labyrinth of Medicaid…
- September 10, 2026
Timeline Charts of Changes to Medi-Cal and Covered California Under OBBBA and the California Budget
Read moreH.R. 1, also known as the “One Big Beautiful Bill Act,” (OBBBA) cuts approximately $1 trillion from Medicaid which will result in an estimated 10 million individuals and families losing health coverage across the nation. The 2026-27 California Budget includes additional cuts to the Medi-Cal (Medicaid) program. These reference…
- September 9, 2026
A Proper Scare: How OBBBA Changes Improper Payment Rules to Expose States to Significant Financial Liability
Read moreThe issues described in this blog post are explored more fully in a new NHeLP resource, OBBBA Changes to Improper Payment Penalties Pose Risks to State Medicaid Programs. In that paper, we provide a history of the PERM program, analyze how OBBBA changes it, discuss how the changes may…
- September 9, 2026
OBBBA Changes to Improper Payment Penalties Pose Risks to State Medicaid Programs
Read moreBeginning October 1, 2029, OBBBA makes significant changes to Medicaid's Payment Error Rate Measurement (PERM) program: The law eliminates the "good faith waiver," making penalties for error rates over 3 percent mandatory, and it changes definitions to expand the universe of payments subject to penalties. The risk to state…
- August 24, 2026
Medicaid Eligibility for Incarcerated Individuals
Read moreFederal law has prohibited federal payments for health care services provided to adults and youth who are incarcerated—known as the “inmate exclusion.” To comply, states implemented a policy that would either terminate or suspend an adult incarcerated individual’s Medicaid eligibility. As of January 1, 2026, the Consolidated Appropriations Act…