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September 26, 2026
Top 10 Suggestions for State Advocacy Regarding H.R. 1 Changes to Medicaid Eligibility for Immigrants
Katy DeBriere, Miriam Delaney Heard, Sarah Grusin, and Jules Lutaba Guide
Many immigrants’ eligibility for Medicaid will be significantly restricted under the 2025 Budget Reconciliation Act (H.R. 1, also known as OBBBA). While H.R. 1 eliminated mandatory Medicaid funding for some individuals, it did not affect optional coverage for lawfully residing children and pregnant people pursuant to the Children’s Health…
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September 11, 2026
Medicaid Application & Renewal Guide for Immigration Attorneys
Miriam Delaney Heard and Jules Lutaba Guide
The 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…
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December 11, 2025
What is required under Title VI and Section 1557 to ensure Language Access for Individuals with Limited English Proficiency?
Mara Youdelman and Dylan de Kervor
Title VI of the Civil Rights Act of 1964 and Section 1557 of the Affordable Care Act prevent discrimination against individuals with limited English proficiency. Regulations from the Department of Health and Human Services Office for Civil Rights finalized in 2024 reiterate long standing requirements to ensure effective communication.…
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March 3, 2025
Despite new Executive Order, Language Access Is Still the Law!
Mara Youdelman Uncategorized
A new executive order (EO) sets English as the official language of the U.S. and revokes Executive Order 13166, signed by President Clinton in 2000. EO 13166 reiterated longstanding law and policies related to language access for individuals with limited English proficiency and ensured that federal agencies worked to…
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May 9, 2024
[Webinar] The Biden Administration’s Final Rule on Section 1557 of the Affordable Care Act: What You Need to Know
Mara Youdelman, Jennifer Lav, Madeline Morcelle, and Wayne Turner Webinar
The final Section 1557 regulation was recently released by the Office for Civil Rights. Implementing Section 1557 of the Affordable Care Act, the rule prohibits discrimination in healthcare based on race, ethnicity, language, age, disability, sex, sexual orientation, and gender identity. NHeLP staff will provide an overview of what's…
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May 9, 2024
Questions and Answers on the 2024 Final Rule Addressing Nondiscrimination Protections under the ACA’s Section 1557
Mara Youdelman, Madeline Morcelle, Wayne Turner, and Jennifer Lav Issue Brief
The Biden Administration finalized updates to the regulations implementing Section 1557 of the Affordable Care Act. Section 1557 prohibits discrimination on the basis of race, color, national origin, age, disability, or any combination thereof. This issue brief provides background on Section 1557 and analyzes the 2024 final regulations issued…
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Top 10 Suggestions for State Advocacy Regarding H.R. 1 Changes to Medicaid Eligibility for Immigrants

Medicaid Application & Renewal Guide for Immigration Attorneys

What is required under Title VI and Section 1557 to ensure Language Access for Individuals with Limited English Proficiency?

Despite new Executive Order, Language Access Is Still the Law!

[Webinar] The Biden Administration’s Final Rule on Section 1557 of the Affordable Care Act: What You Need to Know

Questions and Answers on the 2024 Final Rule Addressing Nondiscrimination Protections under the ACA’s Section 1557