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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 15, 2026
NHeLP Comments on Essential Health Benefits (EHB) RFI
Read moreThe essential health benefits (EHB) are an important protection in the Affordable Care Act to ensure that health plans provide comprehensive benefits. NHeLP urges HHS to improve upon the current EHB standards and expand access to care, while preserving state flexibility to add or improve benefits to meet the…
- 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…
- February 6, 2025
Protect Medi-Cal Funding 2025 series
Kimberly Lewis, Skyler Rosellini, Abigail Coursolle, Jules Lutaba, Jasmine Young, Fabiola De Liban, Amy Chen, Alicia Emanuel, Carly Myers, Alexis Robles-Fradet, and Héctor Hernández-Delgado Issue BriefRead moreCalifornia’s Medicaid program (Medi-Cal) provides a critical investment in the health of Californians. Medi-Cal coverage and services are tailored to meet the unique needs of low-income individuals and families, and provides the most affordable coverage. If Medicaid cuts are enacted, states like California will lose billions of dollars in…
- August 28, 2024
Medicaid Advisory Committees: Best Practices for Effective Stakeholder Engagement
Read moreAlthough Medical Care Advisory Committees (MCACs) have been federally required for nearly forty years, some states have seriously underutilized this opportunity to monitor and improve their Medicaid programs. In May 2024, the Centers for Medicare & Medicaid Services (CMS) updated regulations implementing MCACs. New requirements for the renamed Medicaid…
