Medicaid enrollees from five states and leading medical organizations filed a lawsuit Friday challenging new Medicaid work requirements.

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The National Health Law Program seeks an experienced Chief Operating & Financial Officer to scale the financial systems and operational infrastructure needed to support its mission.

Many immigrants’ eligibility for Medicaid will be significantly restricted under the 2025 Budget Reconciliation Act (H.R. 1). While H.R. 1 eliminated mandatory Medicaid funding for some individuals, it did not affect optional coverage for lawfully residing children and pregnant people pursuant to the Children’s Health Insurance Program Reauthorization Act (CHIPRA), nor the From-Conception-to-End-of-Pregnancy (FCEP) option. States may continue to receive federal funding to provide coverage to these populations, and take other actions to mitigate the harm of this devastating loss of coverage...

Medicaid Enrollees Challenge Rule Threatening Coverage for People With Serious Health Conditions

Medicaid Enrollees Challenge Rule Threatening Coverage for People With Serious Health Conditions

Since August, the Department of Health and Human Services (HHS) newsroom has been on a rural health blitz, peppering inboxes with near-daily press releases that claim to “announce” funding for various rural programs in states around the country. The messages follow a recognizable pattern: splashy headlines with dollar signs, quotes from Members of Congress who voted for the so-called One Big Beautiful Bill Act (OBBBA), and promises of “strengthened” systems and “cutting-edge technology”.

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DALLAS, TEXAS – Yesterday, the U.S. District Court for the Northern District of Texas granted an order implementing a settlement between the federal government, Texas, and four other states. The court...

The restrictions on who qualifies for an exemption due to "medical frailty" are arbitrary and capricious, the American College of Physicians and the American Academy of Pediatrics argue. Per the new Medicaid rules, which take effect Jan. 1, most adult enrollees must prove they are meeting an 80-hour-per-week target for work, school, or volunteering to secure and keep coverage.

A new lawsuit is challenging how the Trump administration plans to exempt medically frail people from Medicaid work requirements.  Medicaid enrollees, alongside several major health care advoc…

Federal regulation implementing a statutory "medical frailty" exclusion from Medicaid work requirements violates the Administrative Procedure Act, burdens healthcare providers and threatens to cause millions of people to lose their coverage, medical groups told a Maryland federal court in a complaint.

The National Health Law Program seeks an experienced Chief Operating & Financial Officer to scale the financial systems and operational infrastructure needed to support its mission.

This issue brief examines State Anti-Discrimination Law Claims and how they may be used to enforce and improve access to health care for low-income and underserved individuals. The brief provides examples of numerous health-related state anti-discrimination law claims, and highlights issues that advocates should consider before pursing these claims. The brief is the fourth in a series of issue briefs that detail state law alternatives for Medicaid enforcement.

NHeLP submitted comments in response to HHS’s Request for Information (RFI) regarding the categories used in the vaccine classification and recommendation system. In these comments, NHeLP opposes any changes to the classification system that allow HHS to downgrade vaccine recommendations, creating confusion, increasing vaccine hesitancy, and endangering public health. NHeLP urges HHS to retract past actions that have weakened access to vaccines through the imposition of measures not supported by science and the best available evidence, and to refrain from expanding the use of the “shared...

The National Health Law Program seeks an experienced Chief Operating & Financial Officer to scale the financial systems and operational infrastructure needed to support its mission.

Medicaid Enrollees Challenge Rule Threatening Coverage for People With Serious Health Conditions

Medicaid Enrollees Challenge Rule Threatening Coverage for People With Serious Health Conditions

The National Health Law Program seeks an experienced Chief Operating & Financial Officer to scale the financial systems and operational infrastructure needed to support its mission.

Two of California’s main health care programs, Medi-Cal and Covered California, are facing significant changes over the next several years that will impact eligibility and access to benefits. These changes are a result of federal actions, including H.R. 1 (also known as the so-called “One Big Beautiful Bill Act”), and state-level changes under the state budget. This fact sheet breaks down the changes related to California’s marketplace, Covered California.

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NHeLP submitted comments opposing this proposed rule, which goes far beyond statutory requirements and would substantially restrict access to care for both Medicaid beneficiaries and consumers with other forms of health care.

Two of California’s main health care programs, Medi-Cal and Covered California, are facing significant changes over the next several years that will impact eligibility and access to benefits. These changes are a result of federal actions, including H.R. 1 (known as the so-called “One Big Beautiful Bill Act”), and changes under the state budget. This fact sheet breaks down the changes related to Medi-Cal for members with Unsatisfactory Immigration Status (UIS) who are ineligible for federally-funded Medicaid.

The draconian Medicaid cuts in H.R. 1 (also called "OBBBA") place even more restrictions on coverage for immigrants who are lawfully present and these changes will, no doubt, sow confusion in state Medicaid agencies. This guide is designed to assist immigration advocates and attorneys navigate the labyrinth of Medicaid for immigrants and provide a tool for issue-spotting common problems.

Could Wyoming join Arizona, Colorado, Montana, Nevada, New Mexico and Utah to partially cover the childbirth resource?

H.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 charts provide a color coded timeline of all of the changes to Medi-Cal and Covered California. The Medi-Cal timeline provides an overview of the key changes under both budget bills to the Medi-Cal program. The Covered California timeline provides an overview of the...

Substantial and well-deserved attention has been given to the so-called “One Big Beautiful Bill Act” (OBBBA)’s direct assault on Medicaid, but more system shocks lurk in the near future. One of OBBBA’s more insidious attacks comes in the form of changes to the Payment Error Rate Measurement (PERM) program’s eligibility error measurement. Beginning October 1, 2029, OBBBA makes the PERM program significantly more punitive by expanding state liability for improper payments and making monetary penalties mandatory. These changes threaten to decimate state budgets and generate harmful ripple...

Beginning October 1, 2029, OBBBA makes significant changes to Medicaid's Payment Error Rate Measurement (PERM) program: The law eliminates the "good faith waiver," making penalties for error rates over 3 percent mandatory, and it changes definitions to expand the universe of payments subject to penalties. The risk to state budgets of these changes cannot be overstated; the potential liability, based on states' past performance, could be in the tens or even hundreds of millions of dollars. However, states can limit their exposure to error and the potential pain of these changes by reducing...