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- August 6, 2026
State-mandated benefits and ACA defrayal obligations
Read moreStates 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…
- July 6, 2026
Accessing Contraceptives in Louisiana: A Toolkit for Young Adults
Read moreThis Toolkit was updated in partnership with Lift Louisiana with the goal of equipping young adults with the knowledge of their right to contraceptive access in Louisiana. It covers the basics of health insurance, the Affordable Care Act’s coverage and nondiscrimination protections, understanding key insurance documents, and what to…
- February 18, 2026
NHeLP Comments on Proposed Rules on Gender-Affirming Care
Héctor Hernández-Delgado, Abigail Coursolle, Catherine McKee, Alexis Robles-Fradet, Emma Parker-Newton, Skyler Rosellini, and Wayne Turner CommentsRead moreNHeLP submitted comments opposing two proposed rules from HHS that would prohibit the use of federal Medicaid funding for coverage of gender-affirming care for minors and prohibit, as a condition of participation, Medicare and Medicaid hospitals from providing gender-affirming care to minors. In these comments, NHeLP urges HHS to…
- December 22, 2025
Prohibited Discrimination under Section 1557 of the Affordable Care Act
Read moreSection 1557 generally prohibits different treatment (also referred to as “intentional discrimination”) and discriminatory effects (also referred to as “disparate impact”). These theories recognize that discrimination shows up in many forms — sometimes there may be an explicit reference to categorization on the basis of a protected identity, but…
- December 11, 2025
What is required under Title VI and Section 1557 to ensure Language Access for Individuals with Limited English Proficiency?
Read moreTitle VI of the Civil Rights Act of 1964 and Section 1557 of the Affordable Care Act prevent discrimination against individuals with limited English proficiency. Regulations from the Department of Health and Human Services Office for Civil Rights finalized in 2024 reiterate long standing requirements to ensure effective communication.…
- October 23, 2025
An Advocate’s Guide to Access Gender-Affirming Care in California
Read moreThis guide is informed by advocates' experience working on cases involving access to gender-affirming care, and it is intended as a resource for health care advocates, non-legal community advocates, legal aid attorneys, TGI individuals struggling to access care, and other impacted stakeholders in California. It is designed as a step-by-step template…
