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- April 4, 2023
NHeLP Comments on Coverage of Contraceptive Services Under the Affordable Care Act
Read moreSection 2713(a)(4) of the Public Health Service Act, and its implementing regulations, make access to contraception possible by ensuring that health plans in the individual and small group markets adequately cover contraception without cost-sharing—cost-sharing that would otherwise reduce use of this necessary service. In our comments, NHeLP strongly supports…
- March 16, 2023
Protect Medicaid Funding series
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 moreIn 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 on the Medicaid guarantee every year. Medicaid helps people live…
- March 13, 2023
NHeLP Comments on the HHS Prior Authorization Proposed Rule (2023)
Read moreIn these comments on the Prior Authorization Proposed Rule, NHeLP urges HHS to go further to curb the abuse of prior authorization as a cost savings strategy that endangers patients’ health. NHeLP supports efforts to streamline prior authorization processing and bring greater transparency to denial rates and the clinical…
- February 24, 2023
Medi-Cal Dyadic Services Advocates and Consumer-Facing Factsheets
Read moreEffective January 1, 2023, Medi-Cal covers dyadic services for the entire family based on the Medicaid eligibility of a child (aged 0-20). To inform advocates and families this important new Medi-Cal benefit, NHeLP publishes a set of advocate-facing and consumer-facing factsheets on Medi-Cal Dyadic Services. Dyadic Services Factsheet (Consumers)…
- February 2, 2023
NHeLP Comments on Essential Health Benefits (EHB) Request for Information (RFI)
Read moreNHeLP submitted comments in response to the HHS' Request for Information (RFI) regarding coverage of Essential Health Benefits (EHB) in the private health insurance market. The comments highlight the need to provide guidance to states to ensure consumers have appropriate information about EHB coverage requirements. In addition, NHeLP underscores…
- February 1, 2023
CMS Establishes Guardrails for Section 1115 Demonstrations for Justice-Involved Individuals in California Waiver
Read moreSince Medicaid’s inception, the program has not covered services for any adult who is an “inmate of a public institution,." However, CMS recently granted a first-of-its-kind section 1115 “reentry demonstration” in California, creating a temporary, limited carve-out to the "inmate exclusion." Under the terms of the demonstration, California will…