Eligibility & Enrollment Archive

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May 11, 2026
Recommendations for State Reporting of Work Requirement Outcomes: Do’s and Don’ts
David Machledt and Skyler Rosellini Issue Brief
Millions of people eligible for or enrolled in the adult Medicaid expansion program are at risk of losing access to health coverage when new federal work requirements go into effect January 1, 2027. We may never know exactly how many individuals lose coverage due to this policy unless states…
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April 20, 2026
Comments on Medicaid collecting Immigration Identifiers in T-MSIS
Sarah Grusin Comments
In comments to the Centers for Medicare & Medicaid Services (CMS), NHeLP and 45 other organizations, oppose the proposal to require states to provide "immigration identifiers" for all Medicaid and CHIP recipients via the federal T-MSIS database. The comments explain that adding this information to the federal database is…
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April 20, 2026
Health Advocates Letter to Congress: Fund Health Care, Not Attacks on Immigrants and Communities
Mia Villasenor and Madeline Morcelle Letter
At a time when communities are struggling with health care access, Congress should be supporting communities by strengthening Medicaid, restoring and extending enhanced premium tax credits for Marketplace coverage, as well as ensuring access to preventive, sexual, and reproductive health care. Instead, through H.R. 1, President Trump and his…
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March 3, 2026
“Qualified” vs. “Satisfactory” Immigration Status Chart
Sarah Grusin Fact Sheet
The Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) limits the availability of public benefits to only “qualified” immigrants. But not all qualified immigrants are eligible for full-scope Medicaid. Individuals who are not eligible for Medicaid based on their immigration status are considered to have an “unsatisfactory immigration status.”…
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February 26, 2026
2026 Changes to Covered California: Federal Action Is Taking Swings at California’s Marketplace
Alicia Emanuel Uncategorized
The Trump Administration has taken aggressive federal action to gut the Medicaid program and Marketplace coverage across the country. There are numerous provisions from the Marketplace Final Rule and H.R.1, the so-called “One Big Beautiful Bill Act” (OBBBA) that drastically erode over a decade of progress to expand access…
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February 19, 2026
Preparing a “Landing Pad”: Mitigating OBBBA’s Harms to the Medicaid Safety Net
Steven Schmidt and Elizabeth Edwards Disability, Eligibility & Enrollment, Uncategorized
The speed and scale of changes to the Medicaid program required by the so-called “One Big Beautiful Bill Act” (OBBBA) will strain Medicaid administrative functions, creating failures that will harm applicants and enrollees, including those with disabilities. OBBBA significantly increases administrative burdens on many enrollees and eligibility staff through…
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Recommendations for State Reporting of Work Requirement Outcomes: Do’s and Don’ts

Comments on Medicaid collecting Immigration Identifiers in T-MSIS

Health Advocates Letter to Congress: Fund Health Care, Not Attacks on Immigrants and Communities

“Qualified” vs. “Satisfactory” Immigration Status Chart

2026 Changes to Covered California: Federal Action Is Taking Swings at California’s Marketplace

Preparing a “Landing Pad”: Mitigating OBBBA’s Harms to the Medicaid Safety Net