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- July 16, 2021
Issue Brief: Private Enforcement of the Medicaid Act Under 42 U.S.C. § 1983
Read moreFederal law allows Medicaid beneficiaries and applicants to enforce their health care rights in court when states do not comply with the Medicaid Act. While individuals have historically used a civil rights law, § 1983 (42 U.S.C. § 1983), to enforce their rights, courts have narrowed this avenue. This…
- July 15, 2021
Making Sure Medicaid is Ready for Public Health Emergencies
Read moreIn 2020, the COVID-19 pandemic plunged the United States into a public health crisis. This situation was not entirely unprecedented. Local crises had previously been triggered by events such as hurricanes (e.g., Katrina in 2005, Irma in 2017), wildfires (e.g., California in 2017 and 2018), lead contamination (Flint, Michigan…
- June 29, 2021
Children’s Health Under Medicaid A National Review of Early and Periodic Screening, Diagnostic, and Treatment Services 2015 – 2019
Read moreThe Medicaid Early and Periodic Screening, Diagnostic, and Treatment program requires each state to complete a reporting form provided by the U.S. Department of Health and Human Services Centers for Medicare & Medicaid Services (CMS). This form, known as the Form CMS-416, measures the states’ efforts to ensure that…
- June 28, 2021
Closing The Medicaid Coverage Gap: Preventing a Separate and Unequal Result
Read moreExpanding Medicaid is an urgent moral, anti-racist, health equity, reproductive justice, and economic imperative. Yet today, policymakers in twelve states refuse to do so—a discriminatory political choice intertwined with racism in policymaking. The result is the Medicaid coverage gap: an estimated 4.4 million people with low incomes—nearly all of…
- June 16, 2021
Primer: State Plan Amendments v. Section 1115 Waivers
Read moreTension and confusion can arise over how HHS allows states to change their Medicaid programs, whether through a state plan amendment (SPA) or a Section 1115 project. To help guard against the improper use of Section 1115 waivers, advocates must know the distinctions between Section 1115 waivers and SPAs.…
- May 20, 2021
Primer: State Plan Amendments v. Section 1115 Waivers
Read moreTension and confusion can arise over how HHS allows states to change their Medicaid programs, whether through a state plan amendment (SPA) or a Section 1115 project. To help guard against the impoper use of Section 1115 waivers, advocates must know the distinctions between Section 1115 waivers and SPAs.…