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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 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…
- February 18, 2026
NHeLP Comments on Proposed Rules on Gender-Affirming Care
Héctor Hernández-Delgado, Abigail Coursolle, Catherine McKee, Alexis Robles-Fradet, Emma Parker-Newton, Skyler Rosellini, and Wayne Turner CommentsRead moreNHeLP submitted comments opposing two proposed rules from HHS that would prohibit the use of federal Medicaid funding for coverage of gender-affirming care for minors and prohibit, as a condition of participation, Medicare and Medicaid hospitals from providing gender-affirming care to minors. In these comments, NHeLP urges HHS to…
- October 23, 2025
An Advocate’s Guide to Access Gender-Affirming Care in California
Read moreThis guide is informed by advocates' experience working on cases involving access to gender-affirming care, and it is intended as a resource for health care advocates, non-legal community advocates, legal aid attorneys, TGI individuals struggling to access care, and other impacted stakeholders in California. It is designed as a step-by-step template…
- October 21, 2025
An Advocate’s Guide to Access GAC in CA: Chapter 1 Purpose and Goal for this Guide
Read moreThis guide is intended as a resource for health care advocates, non-legal community advocates, legal aid attorneys, TGI individuals struggling to access care, and other impacted stakeholders in California. It is designed as a step-by-step template that is easy to adopt into your casework, regardless of your experience with…