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- December 11, 2025
Prior Authorization in Medicaid Series
Read moreThis issue brief series explores how prior authorization policies shape access to care in public health coverage programs, particularly Medicaid. The first brief introduces the fundamentals of prior authorization, how it operates for Medicaid beneficiaries, and the growing movement for reform. Future installments will explore the legal and policy…
- December 3, 2025
Recommendations for Mitigating Harms to People with Disabilities, Older Adults, and Caregivers from Medicaid Work Requirements
Read more*** Co-Authored with Natalie Kean, Jennifer Mathis, and Gelila Selassie The One Big Beautiful Bill Act (OBBBA) establishes unprecedented work requirements in Medicaid expansion. Prior experience has shown that people with disabilities, older adults, and caregivers who should be exempted from work requirements often lose coverage or are denied…
- November 19, 2025
Public Comments on Model Medicare Advantage and Medicare Prescription Drug Plan Individual Enrollment Request Form (CMS-10718)
Read moreThe National Health Law Program submits comments in opposition to the Center for Medicare and Medicaid Services decision to remove voluntary racial, ethnic, and sexual orientation and gender identity data questions from the Model Medicare Advantage and Medicare Prescription Drug Plan Individual Enrollment Request Form, as well as the…
- July 29, 2025
Revisiting Managed Care Sanctions
Read moreThis issue brief is part of the National Health Law Program’s ongoing work on accountability in Medicaid managed care. It updates our research on Medicaid managed care sanctions by revisiting the states we profiled in 2022. We summarize recent sanctions content from the managed care websites of those states…
- May 9, 2024
Questions and Answers on the 2024 Final Rule Addressing Nondiscrimination Protections under the ACA’s Section 1557
Read moreThe Biden Administration finalized updates to the regulations implementing Section 1557 of the Affordable Care Act. Section 1557 prohibits discrimination on the basis of race, color, national origin, age, disability, or any combination thereof. This issue brief provides background on Section 1557 and analyzes the 2024 final regulations issued…