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- December 3, 2025
Checking All the Boxes: A Survey of Medical Frailty Definitions in Alternative Benefit Plans and Section 1115 Work Requirements Demonstrations
Read moreIndividuals who are considered medically frail have traditionally been subject to different eligibility and coverage rules in the Medicaid program. Most recently, H.R. 1 exempted medically frail individuals from new work requirement imposed on Medicaid expansion populations. This survey provides information on the use of medical frailty in the…
- 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…
- December 1, 2025
Medicaid Work Requirements: Mitigating Harm through Implementation
Read moreThis piece provides an overview of the structure of the new Medicaid work requirement and recommends how states can choose policies that lessen the negative effects of this new requirement. Recommendations include reducing administrative burden for states and individuals through streamlined compliance procedures, ensuring that health and functional status…
- November 20, 2025
Got Your (Work) Number: The Intersection of Medicaid Eligibility Data Sources and Work Requirements
Read moreEffective data matching will be an integral part of minimizing the harm associated with OBBBA's work requirements. This resource provides a brief overview of existing ex parte verification requirements and common sources used for ex parte verification, and emphasizes that those sources should be used with care to minimize…
- October 2, 2025
Webinar: The role of due process
Read moreThis webinar discusses the key role due process will play in implementation of the changes to Medicaid under OBBBA. What We Know and What Happens Next: OBBBA and its Impact on Health Care Coverage is a new webinar series from the National Health Law Program launching this summer and…
- September 17, 2025
Timeline Charts of Changes to Medi-Cal and Covered California Under OBBBA and the California Budget
Read moreH.R. 1, also known as the “One Big Beautiful Bill Act,” (OBBBA) cuts approximately $1 trillion from Medicaid which will result in an estimated 10 million individuals and families losing health coverage across the nation. Just before the OBBBA’s passage, California finalized its budget, which includes additional cuts to…
