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  • Fact Sheet: Utilization Controls for Medicaid Prescription Drugs

    Abbi Coursolle

    State Medicaid programs that elect to provide outpatient prescription drug coverage must cover all FDA-approved drugs that are offered by a manufacturer that agrees to provide rebates. Nevertheless, states have substantial discretion to use utilization control techniques to steer Medicaid beneficiaries toward or away from certain drugs, within limits.…

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  • Fact Sheet: Medicaid Outpatient Prescription Drugs

    Prescription drug coverage is an important facet of the Medicaid program. Although an optional benefit, all states cover outpatient prescription drugs in their Medicaid programs.This fact sheet provides an overview of Medicaid outpatient prescription drug coverage, including: federal minimum requirements, state restrictions on prescription drug access, and special rules…

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  • Lessons from California: Nov

    While Nov. 8 statewide elections in California brought the passage of a number of positive health care related initiatives, the looming Trump administration poses serious threats to health care in California and the nation, writes Staff Attorney Amy Chen in this month's Lessons from California. "Today and in the years…

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  • Lessons from California

    Abbi Coursolle

    Decades after being ordered by a state appeals court to adhere to Medicaid law, California's Medicaid agency, Medi-Cal, starting in 2017 will be required by state law to ensure it is providing transportation services to Medicaid beneficiaries, writes Staff Attorney Abbi Coursolle in this month's Lessons from California. Coursolle…

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  • The Data Project

    NHeLP's Reproductive Health Data and Insurance Accountability Project (the Data Project) and the Women's Law Project on October 3 published a guide on abortion coverage for low-income women, and physicians in Pennsylvania. The guide details the extent of Medicaid coverage of abortion care in the state, administered by Pennsylvania…

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  • Hill-Burton Facility Listing

    Hill-Burton Act funded the construction of health care facilities beginning in the 1940s. Facilities receiving this funding had a time-limited Free Care Obligation and, importantly, a Community Services obligation that lasts in perpetuity. This document provides a state-by-state listing of Hill-Button facilities.

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