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September 24, 2026
State Advocates’ Guide to OBBBA Oversight Advocacy in a Changing Environment
Kaylan Szafranski and Elizabeth Edwards Issue Brief, Guide, Toolkit
This resource is a collaboration between Community Catalyst and the National Health Law Program. The tight timeline for states to implement OBBBA changes to Medicaid has changed the normal course of advocacy in many states. At the same time, advocates face significant changes to understand and advocate about, which…
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September 21, 2026
State Law Alternatives for Medicaid Enforcement: Issue Brief 4 – State Anti-Discrimination Law Claims
Steven Schmidt Issue Brief
This issue brief examines State Anti-Discrimination Law Claims and how they may be used to enforce and improve access to health care for low-income and underserved individuals. The brief provides examples of numerous health-related state anti-discrimination law claims, and highlights issues that advocates should consider before pursing these claims.…
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September 9, 2026
OBBBA Changes to Improper Payment Penalties Pose Risks to State Medicaid Programs
Shandra Hartly Issue Brief
Beginning October 1, 2029, OBBBA makes significant changes to Medicaid's Payment Error Rate Measurement (PERM) program: The law eliminates the "good faith waiver," making penalties for error rates over 3 percent mandatory, and it changes definitions to expand the universe of payments subject to penalties. The risk to state…
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August 12, 2026
State Law Alternatives for Medicaid Enforcement: Issue Brief 3 – State Constitutional Claims
Steven Schmidt Issue Brief
This issue brief examines State Constitutional Claims and how they may be used to enforce and improve access to health care for low-income and underserved individuals. The brief provides examples of numerous health-related state constitutional claims, and gives advocates ideas for claims to explore in their state. The brief…
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August 6, 2026
State-mandated benefits and ACA defrayal obligations
Héctor Hernández-Delgado and Wayne Turner Issue Brief
States 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…
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July 15, 2026
Using State MACS/BACS to Monitor OBBBA Work Requirement Implementation
Miriam Delaney Heard Issue Brief
Medicaid Advisory Committees (MACs) and/or Beneficiary Advisory Councils (BACs) provide a meaningful opportunity for stakeholders and enrollees to engage with state Medicaid officials and policymakers. Engagement will be crucial as states begin implementing OBBBA’s work requirements. This resource provides suggestions about how to work with state MACs/BACs to mitigate…
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Issue Brief Archive

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State Advocates’ Guide to OBBBA Oversight Advocacy in a Changing Environment

State Law Alternatives for Medicaid Enforcement: Issue Brief 4 – State Anti-Discrimination Law Claims

OBBBA Changes to Improper Payment Penalties Pose Risks to State Medicaid Programs

State Law Alternatives for Medicaid Enforcement: Issue Brief 3 – State Constitutional Claims

Using State MACS/BACS to Monitor OBBBA Work Requirement Implementation

Issue Brief Archive

Never miss a thing.

Subscribe today.

State Advocates’ Guide to OBBBA Oversight Advocacy in a Changing Environment

State Law Alternatives for Medicaid Enforcement: Issue Brief 4 – State Anti-Discrimination Law Claims

OBBBA Changes to Improper Payment Penalties Pose Risks to State Medicaid Programs

State Law Alternatives for Medicaid Enforcement: Issue Brief 3 – State Constitutional Claims

State-mandated benefits and ACA defrayal obligations

Using State MACS/BACS to Monitor OBBBA Work Requirement Implementation