National Health Law Program

Founded in 1969, the National Health Law Program (NHeLP) protects and advances the health rights of low-income and underserved individuals and families. The oldest nonprofit of its kind, NHeLP advocates, educates and litigates at the federal and state levels. NHeLP’s lawyers and policy analysts stand up for the rights of the millions of people who struggle to access affordable, quality health care.

  • NHeLP Publishes Newsletter on California’s EPSDT Guidance

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    NHeLP: The National Health Law Program published an issue of Lessons from California on advocating for Medi-Cal managed care plans to provide a wide array of services to children.  The newsletter explains that federal Early and Periodic Screening, Diagnosis and Treatment (EPSDT) requirements to mandate that states provide services to children without delay or denial based on the possibility that other entities could provide said services.

  • NHeLP Publishes Summary of 2014 ACA Litigation

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    NHeLP: The National Health Law Program published an issue of Health Advocate that provides a summary of significant ACA-related cases in 2014. The e-newsletter examines cases that directly challenge: the ACA; coverage of reproductive health services; Medicaid maintenance of effort requirement; and preemption.

  • NHeLP Comments on HHS Proposed Rule

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    NHeLP: The National Health Law Review Program (NHeLP) submitted comments to HHS on the proposed rule “Notice of Benefit and Payment Parameters for 2016.” The proposed rule  outlines changes to annual and special enrollment periods, essential health benefits, consumer assistance, and network adequacy. NHeLP’s comments support many of the proposed rule’s provisions that would improve access to coverage for vulnerable individuals and make recommendations on how to improve the rule.

  • NHeLP Publishes Comparison of Medi-Cal and Covered California Benefits

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    NHeLP: The National Health Law Program published a fact sheet comparing Medi-Cal benefits to Covered California’s essential health benefits (EHBs). The fact sheet provides an overview of services covered by each program, a list of differences, and considerations to keep in mind when comparing benefits.

  • NHeLP Publishes Q& A on Relatives as Paid Providers

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    NHeLP: The National Health Law Program published a Q&A about a federal program that allows states to pay adults who are legally responsible for children or other relatives for providing Medicaid-funded home and community-based services. The Q&A also discusses different options available to states and existing case law.

  • NHeLP Publishes Lessons From California Focused on State’s Marketplace Renewal Process

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    NHeLP: In this month’s edition of Lessons from California, the National Health Law Program reviews Covered California’s renewal process and how it differs from the FFM renewal process. The newsletter highlights challenges with the renewal process, including limited availability of translated notices for non-English and Spanish speaking populations and coordination between Covered California and Medi-Cal. Despite these challenges, the newsletter predicts most Covered California enrollees will retain coverage with minimal disruption of care in 2015.

  • NHeLP Publishes Issue Brief About Vision Services for Children on Medicaid

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    NHeLP: The National Health Law Program published an issue brief on vision services available to children with Medicaid coverage through the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit. The brief discusses: the severity and prevalence of common eye conditions among children; the developmental consequences of untreated vision loss; standards and recommendations for screenings; performance and monitoring of vision services rendered under the EPSDT benefit; and recommendations for CMS and state Medicaid agencies to improve children’s vision services.

  • NHeLP Posts Webinar on Rules for MAGI Determination

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    NHeLP: The National Health Law Program released materials from a webinar it hosted as part of CMS’ navigator and assister training series. The webinar focuses on using Modified Adjusted Gross Income (MAGI) to calculate a consumer’s total household income for purposes of determining their eligibility for tax credits and subsidies for coverage purchased through a marketplace, as well as eligibility for Medicaid and CHIP.

  • NHeLP Publishes E-Newsletter on Open Enrollment

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    NHeLP: The National Health Law Program published an issue of Health Advocate focusing on challenges and concerns regarding the 2015 Open Enrollment Period. The newsletter acknowledges the enrollment process has advanced considerably since last year, but points to the shortened timeline and redetermination process as major concerns.

  • NHeLP Submits Comments on Draft IRS Forms

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    NHeLP:  The National Health Law Program submitted comments on the proposed IRS Forms 1095 A-C that will be used to determine whether individuals have minimum essential health coverage as required by the ACA and reconcile any Advance Premium Tax Credits individuals may have received. The comments encourage the IRS to release more detailed instructions on when and how consumers should use the forms and develop a streamlined system for those who file taxes electronically.

  • NHeLP Files Amicus Brief in Halbig Case

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    NHeLP: The National Health Law Program, in partnership with AARP, filed an amicus brief in the Halbig v. Burwell case defending the availability of ACA tax credits to consumers in states with a federally facilitated marketplace (FFM). The case is set for en banc review before the D.C. Circuit Court of Appeals on December 17th.

  • NHeLP Submits Comments on Proposed IRS Rules

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    NHeLP: The National Health Law Program submitted comments to the IRS on proposed rulemaking related to household composition rules for married persons who experience domestic abuse or spousal abandonment.  

  • NHeLP Publishes Fact Sheet and Lessons Learned on CMS Guidance on Treatments for Children with ASD

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    NHeLP: The National Health Law Program (NHeLP) published a fact sheet on CMS’s guidance related to treatments for children with autism spectrum disorders (ASD). The fact sheet explains that states are now obligated to cover services for children under 21 when medically necessary, even if they are not covered for adults. NHeLP also published an issue brief, Lessons from California, highlighting how California is working to provide Behavioral Health Treatment to children with ASD who are enrolled in Medi-Cal.

  • NHeLP Publishes Issue Brief on Reducing Medicaid ED Use

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    NHeLP: The National Health Law Program published an issue brief on Medicaid cost sharing policies that target non-urgent use of  emergency departments. The brief reviews problems with emergency department co-payments and looks at alternatives that have proven successful in reducing utilization while improving care coordination and quality.

  • KidsWell Partners Submit Comments on Arkansas Private Option

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    CCF, NHeLP: KidsWell partners, the Georgetown Center on Children and Families (CCF) and the National Health Law Program, joined 13 other national and state organizations in submitting comments to CMS regarding the Arkansas Medicaid 1115 Waiver, the “Private Option.” The comments expressed concern about the impact  premiums and co-payments will have on consumers and urged  CMS to deny the request to waive the non-emergency transportation benefit. CCF also blogged about the comments.

  • NHeLP Submits Comments on Proposed Federal Rule Regarding ACA Contraceptive Coverage

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    NHeLP: The National Health Law Program submitted comments to CMS regarding a proposed federal rule that would further clarify the definition of “closely held” companies exempt from contraceptive coverage as mandated by the ACA. The comments offer alternatives to the definition of “closely held” corporations and encourage CMS to ensure access to contraceptive services are not unnecessarily impeded. 

  • NHeLP Publishes Issue Brief About Hearing Services for Children on Medicaid

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    NHeLP: The National Health Law Program published an issue brief  focused on hearing services available to children on Medicaid through the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit. The brief outlines: the scope of hearing loss in children; standards and guidelines; the EPSDT benefit; states strategies for implementing EPSDT requirements related to hearing screenings; and recommendations to ensure that children with hearing loss are identified early and receive proper services.

  • NHeLP Publishes E-Newsletter Advocating for Age-Appropriate Sex Education

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    NHeLP: The National Health Law Program published an e-newsletter exploring how medical screenings through the Early and Period Screening, Diagnostic and Treatment (EPSDT) benefit could and should include sexuality education from infancy through age 20. The e-newsletter recognizes EPSDT as an opportunity for children to receive sexuality education along with comprehensive health screenings.

  • KidsWell Partners Featured in New York Times and Circulate CHIP Sign-on Letter

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    CDF, First Focus, NHeLP: KidsWell partners First Focus and Children’s Defense Fund (CDF) signed onto a letter to the editor featured in The New York Times supporting the extension of CHIP funding. In addition, First Focus, CDF, and the National Health Law Program, along with 10 other national organizations, are circulating a sign-on letter encouraging leadership in Congress to extend CHIP funding. Organizations are encouraged to add their names to the letter by October 13th.

  • NHeLP Highlights New Contraceptive Coverage Law

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    NHeLP: The latest issue of Lessons from California highlights legislation co-sponsored by The National Health Law Program and the California Family Health Council. The legislation guarantees that women in Medi-Cal are entitled to full contraceptive coverage and strictly limits medical management techniques to ensure that an insurer does not restrict a woman’s choice of contraceptive. The Governor recently signed the bill into law.

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