Shandra Hartly

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February 25, 2026
NHeLP Response to HHS RFI on Accelerating the Use of AI in Clinical Care
Brit Vanneman, Elizabeth Edwards, and Shandra Hartly Comments
HHS 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…
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February 9, 2026
Advocates’ Timeline for State Work Requirement Implementation
Katy DeBriere, Elizabeth Edwards, and Shandra Hartly Fact Sheet, Guide
Advocates 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…
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November 20, 2025
Got Your (Work) Number: The Intersection of Medicaid Eligibility Data Sources and Work Requirements
Shandra Hartly Issue Brief
Effective data matching will be an integral part of minimizing the harm associated with OBBBA's work requirements. This resource provides a brief overview of existing ex parte verification requirements and common sources used for ex parte verification, and emphasizes that those sources should be used with care to minimize…
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September 18, 2025
State Options to Implement Provisions of the Eligibility and Enrollment Final Rule Post-OBBBA
Shandra Hartly Fact Sheet
This chart provides information about the status of each provision of the 2024 Eligibility and Enrollment Final Rule following the enactment of the “One Big Beautiful Bill” Act, which partially blocks implementation and enforcement of some of the rule until September 30, 2034. It also provides an overview of…
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September 8, 2025
Webinar: How to Prepare for Medicaid Work Requirements
Shandra Hartly, David Machledt, and Madeline Morcelle Webinar
On July 4th, President Trump signed the so-called "One Big Beautiful Bill Act" (OBBBA) into law, enacting the most sweeping and harmful Medicaid cuts in U.S. history. Medicaid work requirements -- the OBBBA's largest Medicaid cut -- will gut health care access for millions of Medicaid expansion and partial…
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August 21, 2025
Eligibility and Enrollment Provisions in OBBBA
Katy DeBriere, Shandra Hartly, and Jules Lutaba Fact Sheet
The so-called “One Big Beautiful Bill” Act, hereinafter referred to as “OBBBA”, negatively impacts eligibility and enrollment for Medicaid and Marketplace applicants and enrollees in a myriad of ways. OBBBA restricts access to Medicaid and Marketplace eligibility, imposes administrative barriers that make it harder to enroll in and retain…
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Posts tagged with ‘Shandra Hartly’

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NHeLP Response to HHS RFI on Accelerating the Use of AI in Clinical Care

Advocates’ Timeline for State Work Requirement Implementation

Got Your (Work) Number: The Intersection of Medicaid Eligibility Data Sources and Work Requirements

State Options to Implement Provisions of the Eligibility and Enrollment Final Rule Post-OBBBA

Webinar: How to Prepare for Medicaid Work Requirements

Eligibility and Enrollment Provisions in OBBBA