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- August 3, 2026
NHeLP Comments | Work Requirement IFR
National Health Law Program (NHeLP) CommentsRead moreMedicaid work requirements do not increase employment. Instead, they result in substantial coverage loss which, in turn, leads to health and financial harm. In comments on CMS's interim final rule implementing work requirements, NHeLP urges the agency to follow the evidence and craft a final rule that minimizes coverage…
- July 29, 2026
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. The 2026-27 California Budget includes additional cuts to the Medi-Cal (Medicaid) program. These reference…
- July 15, 2026
Using State MACS/BACS to Monitor OBBBA Work Requirement Implementation
Read moreMedicaid Advisory Committees (MACs) and/or Beneficiary Advisory Councils (BACs) provide a meaningful opportunity for stakeholders and enrollees to engage with state Medicaid officials and policymakers. Engagement will be crucial as states begin implementing OBBBA’s work requirements. This resource provides suggestions about how to work with state MACs/BACs to mitigate…
- July 13, 2026
Medicaid Work Requirements Do Not Apply to Foster Youth and Former Foster Youth Up to Age 26
Read moreH.R. 1, also known as the “One Big Beautiful Bill Act” (OBBBA), requires certain adult Medicaid enrollees to participate in and verify work activities in order to maintain their health coverage. These work requirements, which go into effect on or before January 1, 2027, do not apply to foster…
- June 2, 2026
Using the Affordable Care Act’s “Community Benefit” to Support Individuals Subject to Medicaid Work Requirements
Read moreAs states move to implement Medicaid work requirements, low-income enrollees will face barriers to maintaining health coverage. Nonprofit hospitals can help address these barriers in creative ways. Indeed, because they enjoy the benefits of federal tax-exempt status, these entities are well- positioned to help address barriers. A little-referenced federal…
- 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…
