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- September 28, 2023
NHeLP Comments on US Pharmacopeia Drug Classification Update Draft for 2024
Read moreUnder federal rules, health plans subject to the Essential Health Benefits must cover a minimum of one drug per U.S. Pharmacopeia (USP) class and category. However, the USP classification system used for EHB was designed for Medicare Part D, and falls short on covering pediatric formulations, drugs used for…
- August 29, 2023
Resources for California Foster Youth: Sexual, Reproductive, and Mental Health Medi-Cal Services
Read moreCurrent and former foster youth in the Medi-Cal program have access to a broad array of reproductive, sexual, and mental health services. Working with the National Center for Youth Law, the National Health Law Program has developed a suite of infographics and factsheets aimed at helping foster youth better understand…
- August 21, 2023
An Advocate’s Guide to Reproductive and Sexual Health in the Medicaid Program (with 2023 Supplement)
Read moreIn 2019, NHeLP published the 2nd Edition of An Advocate’s Guide to Reproductive and Sexual Health in the Medicaid Program (“Guide”). The Guide is designed to familiarize readers with the basics of the Medicaid program and highlight features that support reproductive and sexual health. Since the Guide was first…
- June 28, 2023
California Abortion Coverage in Medi-Cal and Private Insurance
Read more*Co-written with Xochitl Lopez-Ayala (Policy Advocacy Coordinator at ACCESS REPRODUCTIVE JUSTICE) Access to comprehensive health care, which includes abortion care, is critical to every person’s health and well-being. Abortions are legal in California. Both Medi-Cal and private health insurance plans in California are required to cover all abortions. This…
- April 5, 2023
FAQ: Insurance Coverage for Pharmacy-Dispensed Medication Abortion
Read moreThe U.S. Food and Drug Administration (FDA) announced new changes to the mifepristone Risk Evaluation and Mitigation Strategy (REMS) in January 2023, opening the door to the expansion of medication abortion access through pharmacist dispensing. However, equitable abortion access under this model requires intentional benefit design in order to…
- March 16, 2023
Protect Medicaid Funding series (2023)
Michelle Yiu, Emma Parker-Newton, David Machledt, Amy Chen, Madeline Morcelle, Héctor Hernández-Delgado, Catherine McKee, Mara Youdelman, Wayne Turner, Dania Douglas, and Charly Gilfoil Fact SheetRead moreA 2024 update of this series can be found here. In an updated series of fact sheets called Protect Medicaid Funding, NHeLP provides succinct analysis of the policy proposals that if enacted would jeopardize the health and financial security of the tens of millions of low-income individuals who depend…