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September 24, 2025
Interested Parties Advisory Groups: Meaningful Stakeholder Engagement to Ensure Adequate HCBS Payment Rates and Help Strengthen the Direct Care Workforce
Jennifer Lav, Brit Vanneman, and Syd Pickern Issue Brief
NHeLP in partnership with The Community Living Policy Center (CLPC) developed the following policy brief titled, “Interested Parties Advisory Groups: Meaningful Stakeholder Engagement to Ensure Adequate HCBS Payment Rates and Help Strengthen the Direct Care Workforce." The Interested Parties Advisory Group (IPAG) requirement, established under the Medicaid Access Rule,…
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September 17, 2025
Medicaid Financing after OBBBA: State Directed Payments and Provider Taxes
Geraldine Doetzer Issue Brief
The so-called "One Big Beautiful Bill Act" (OBBBA) makes changes to complex but crucial Medicaid financing mechanisms that are likely to force states to reduce provider payments and limit benefits. This issue brief provides an overview of state directed payments and provider taxes and explains how they interact; how…
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August 13, 2025
The Marketplace Final Rule Rolls Back Access to Marketplace Coverage and Affordability
Geraldine Doetzer, Alicia Emanuel, Shandra Hartly, Héctor Hernández-Delgado, and Wayne Turner Issue Brief
On June 20, 2025, the Department of Health and Human Services (HHS) finalized a marketplace rule, hereinafter referred to as the Marketplace Final Rule, that restricts access to marketplace coverage and affordability programs under the Affordable Care Act (ACA). This issue brief discusses the key eligibility, enrollment and affordability…
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July 29, 2025
Revisiting Managed Care Sanctions
Daniel Young Issue Brief
This issue brief is part of the National Health Law Program’s ongoing work on accountability in Medicaid managed care. It updates our research on Medicaid managed care sanctions by revisiting the states we profiled in 2022. We summarize recent sanctions content from the managed care websites of those states…
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July 28, 2025
Internal and External Review: Medi-Cal Managed Care Plans Managed Care in California Series Issue No. 4 (Revised July, 2025)
Abigail Coursolle Issue Brief
Federal and state law and the state and federal Constitutions require that enrollees in Medi-Cal managed care plans receive notice, and grievance and appeal rights when they are denied access to medically necessary services. Frequently, however, enrollees fail to receive the required notice, get an inadequate notice, or do not…
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March 13, 2025
Medicaid Work Requirements Would Gut State and Local Economies
Madeline Morcelle Issue Brief
Work requirements are one of the most insidious strategies to cut Medicaid because they do so by triggering coverage losses rather than changing the structure of federal Medicaid financing. Cutting health insurance for millions through Medicaid work requirements would profoundly hurt state and local economies. Work requirements would gut…
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Interested Parties Advisory Groups: Meaningful Stakeholder Engagement to Ensure Adequate HCBS Payment Rates and Help Strengthen the Direct Care Workforce

Medicaid Financing after OBBBA: State Directed Payments and Provider Taxes

The Marketplace Final Rule Rolls Back Access to Marketplace Coverage and Affordability

Revisiting Managed Care Sanctions

Internal and External Review: Medi-Cal Managed Care Plans Managed Care in California Series Issue No. 4 (Revised July, 2025)

Medicaid Work Requirements Would Gut State and Local Economies