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- August 6, 2026
State-mandated benefits and ACA defrayal obligations
Read moreStates have historically addressed gaps in health care coverage by requiring insurers to cover specific benefits. However, under the Affordable Care Act (ACA), states must defray the cost of newly enacted state benefit mandates that apply to Qualified Health Plans (QHPs). This issue brief provides an overview of the…
- July 15, 2026
NHeLP Comments on Essential Health Benefits (EHB) RFI
Read moreThe essential health benefits (EHB) are an important protection in the Affordable Care Act to ensure that health plans provide comprehensive benefits. NHeLP urges HHS to improve upon the current EHB standards and expand access to care, while preserving state flexibility to add or improve benefits to meet the…
- July 10, 2026
NHeLP Comments on Excepted Fertility Benefits Proposed Rule
Read moreThe U.S. Labor, Treasury, and Health and Human Services Departments proposed a rule that may allow some employers to offer limited fertility and IVF benefits outside ACA consumer protections. NHeLP submitted comments asking the Departments to withdraw this proposal and instead utilize mechanisms that would ensure that low- and…
- May 14, 2026
NHeLP Comments on Idaho 1332 Waiver Application
Read moreNHeLP submitted comments opposing Idaho's recent State Innovation (Section 1332) waiver application, which would establish a program allowing certain Medicaid beneficiaries to enroll in a more costly, less-comprehensive private Marketplace plan. The proposed waiver is inconsistent with the Affordable Care Act and presents a significant risk of harm to…
- April 14, 2025
NHeLP Comments on Notice of Proposed Rulemaking regarding Marketplaces
Alicia Emanuel, Shandra Hartly, Jules Lutaba, Elizabeth Edwards, Wayne Turner, Héctor Hernández-Delgado, Alexis Robles-Fradet, Allyson Crays, Emma Parker-Newton, and Mara Youdelman CommentsRead moreNHeLP submitted comments on a number of the Trump Administration's proposed revisions to marketplace regulations. Our comments included opposition to eliminating marketplace access to DACA recipients and prohibiting coverage of gender affirming care. We also opposed proposed revisions to existing regulations that would make it more difficult for individuals…
- October 30, 2024
Health Care Services on The Ballot: What the Election Means for Essential Health Benefits
Read moreThe upcoming November election will have a significant impact on health care nationwide. Policy proposals championed by candidates at the federal and state levels could radically change health law and policy in ways that will reverberate in 2025 and beyond.In this new blog series, the experts at NHeLP will…
