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- September 9, 2026
OBBBA Changes to Improper Payment Penalties Pose Risks to State Medicaid Programs
Read moreBeginning 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…
- June 16, 2026
Electronic Asset Verification and Medicaid Access in Rural Communities
Read moreThe issues described in this blog post are explored more fully in a new NHeLP resource, The Red Tape Divide: How Medicaid Paperwork Burdens Hit Rural Communities Harder. In that paper, we describe gaps in access to Medicaid for rural residents, in particular Black rural residents, with particular attention…
- May 14, 2026
NHeLP Comments on Idaho 1332 Waiver Application
Read moreNHeLP submitted comments opposing Idaho's recent State Innovation (Section 1332) waiver application, which would establish a program allowing certain Medicaid beneficiaries to enroll in a more costly, less-comprehensive private Marketplace plan. The proposed waiver is inconsistent with the Affordable Care Act and presents a significant risk of harm to…
- March 12, 2026
NHeLP Comments on 2027 Notice of Benefit & Payment Parameter NPRM
Geraldine Doetzer, Dania Douglas, Wayne Turner, David Machledt, Christina Piecora, Jasmine Young, Shandra Hartly, Héctor Hernández-Delgado, Elizabeth Edwards, Abigail Coursolle, Fabiola De Liban, Mara Youdelman, and Sarah Grusin CommentsRead moreNHeLP submitted comments opposing proposed changes to marketplace and ACA regulations. The Proposed Rule aims to enact sweeping changes to fundamental aspects of the Affordable Care Act, often in defiance of statutory requirements, without sufficient evidence, and in apparent disregard to the adverse impacts of proposed policies on individuals…
- February 25, 2026
NHeLP Response to HHS RFI on Accelerating the Use of AI in Clinical Care
Read moreHHS requested information on supporting innovation and use of artificial intelligence (AI) in clinical care. NHeLP's response highlights the abundant research that discusses how AI in health care can exacerbate bias and lead to improper, harmful decisions. NHeLP's comments also discussed how our experience with AI and the research…
- February 9, 2026
Advocates’ Timeline for State Work Requirement Implementation
Read moreAdvocates and state Medicaid agencies face a rapid implementation timeline for Medicaid work requirements established by the so-called One Big Beautiful Bill Act (OBBBA). For the Medicaid expansion group, this also includes more frequent eligibility redeterminations coupled with regular compliance checks, increasing administrative burden and risk of erroneous coverage…
