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September 17, 2025
Medicaid Financing after OBBBA: State Directed Payments and Provider Taxes
Geraldine Doetzer Issue Brief
The so-called "One Big Beautiful Bill Act" (OBBBA) makes changes to complex but crucial Medicaid financing mechanisms that are likely to force states to reduce provider payments and limit benefits. This issue brief provides an overview of state directed payments and provider taxes and explains how they interact; how…
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September 8, 2025
Webinar: How to Prepare for Medicaid Work Requirements
Shandra Hartly, David Machledt, and Madeline Morcelle Webinar
On July 4th, President Trump signed the so-called "One Big Beautiful Bill Act" (OBBBA) into law, enacting the most sweeping and harmful Medicaid cuts in U.S. history. Medicaid work requirements -- the OBBBA's largest Medicaid cut -- will gut health care access for millions of Medicaid expansion and partial…
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September 8, 2025
RePros Fight Back Podcast on What OBBBA Means for SRH – Podcast
Madeline Morcelle and Jennie Wetter Webinar
The One Big Beautiful Bill Act (OBBBA), President Trump’s Tax and Spend mega bill, recently passed Congress. It will strip billions of dollars from essential health programs while paying for billions of dollars in tax cuts for the rich, expand mass deportation programs, and continue to harm reproductive justice.…
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August 21, 2025
Eligibility and Enrollment Provisions in OBBBA
Katy DeBriere, Shandra Hartly, and Jules Lutaba Fact Sheet
The so-called “One Big Beautiful Bill” Act, hereinafter referred to as “OBBBA”, negatively impacts eligibility and enrollment for Medicaid and Marketplace applicants and enrollees in a myriad of ways. OBBBA restricts access to Medicaid and Marketplace eligibility, imposes administrative barriers that make it harder to enroll in and retain…
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August 14, 2025
Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (PRWORA); Interpretation of “Federal Public Benefit” Comments
Dylan de Kervor, Christina Piecora, Mara Youdelman, Héctor Hernández-Delgado, and Emma Parker-Newton Comments
The National Health Law Program submits comments in opposition to the harmful new interpretation the Department of Health and Human Services (HHS) is taking in regard to the definition of a "Federal public benefit" under the Personal Responsibility and Work Opportunity Reconciliation Act. For over 55 years, NHeLP has…
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August 13, 2025
The Marketplace Final Rule Rolls Back Access to Marketplace Coverage and Affordability
Geraldine Doetzer, Alicia Emanuel, Shandra Hartly, Héctor Hernández-Delgado, and Wayne Turner Issue Brief
On June 20, 2025, the Department of Health and Human Services (HHS) finalized a marketplace rule, hereinafter referred to as the Marketplace Final Rule, that restricts access to marketplace coverage and affordability programs under the Affordable Care Act (ACA). This issue brief discusses the key eligibility, enrollment and affordability…
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Medicaid Financing after OBBBA: State Directed Payments and Provider Taxes

Webinar: How to Prepare for Medicaid Work Requirements

RePros Fight Back Podcast on What OBBBA Means for SRH – Podcast

Eligibility and Enrollment Provisions in OBBBA

Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (PRWORA); Interpretation of “Federal Public Benefit” Comments

The Marketplace Final Rule Rolls Back Access to Marketplace Coverage and Affordability