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.

QHPs & EHBs

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  • NHeLP Publishes Fact Sheet on EHB Updates

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    NHeLP: The National Health Law Program published a fact sheet on changes to the Essential Health Benefits (EHB) standard as outlined in HHS’s Notice of Benefit and Payment Parameters for 2016 final rule. The fact sheet reviews existing EHB rules and the new changes, including: the option for states to select a new base-benchmark plan for the 2017 plan year; a uniform definition of habilitative services; clarification on the age limit for pediatric services; and, the need to publish up-to-date and accurate lists of all covered drugs on its formulary. The fact sheet also highlights advocacy opportunities, where applicable.

  • NHeLP Comments on CMS Draft Letter

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    NHeLP: The National Health Law Program submitted comments to CMS on the “Draft 2016 Letter to Issuers in the Federally-facilitated Marketplaces.” The comments expand on those already submitted to HHS in November 2014 and include specific comments on: network adequacy; provider directory links; essential community providers; accreditation; patient safety standards; discriminatory benefit design; prescription drugs; QHP performance and oversight; and consumer support.

  • 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 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 Publishes E-Newsletter on Alternative Benefit Plans

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    NHeLP: The National Health Law Program published an e-newsletter on Alternative Benefit Plans (ABPs) that must be offered to the newly eligible Medicaid expansion population. The e-newsletter, which compliments a fact sheet published last month, discusses how states decide what benefits to include in their ABPs, noting that 19 of 27 states that are expanding Medicaid have aligned ABP benefits with Medicaid state plan benefits. 

  • NHeLP Publishes Fact Sheet on Alternative Benefit Plans for the Medicaid Expansion Population

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    NHeLP: The National Health Law Program published a fact sheet on Alternative Benefit Plans (ABPs) that must be offered to the newly eligible Medicaid expansion population. The fact sheet discusses alignment of ABP benefits to other coverage vehicles, highlights trends in approved ABP State Plan Amendments, and provides technical assistance for advocates when evaluating their states’ ABP.  

  • NHeLP Comments on Annual Redetermination Process for 2015

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    NHeLP: The National Health Law Program submitted comments to CMS on the proposed regulations and sub-regulatory guidance released on annual redeterminations. The comments propose recommendations about renewal processes for individuals enrolled in Qualified Health Plans, propose alternative renewal procedures, and provide guidance on Marketplace renewal notices. KidsWell grantee, Community Service Society of New York (CSS), signed onto the comments. 

  • KidsWell Partners Issue Statements on ACA Appeals Court Rulings on Subsidies

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    NHeLP, YI, & FL: The National Health Law Program (NHeLP) and Young Invincibles issued statements in response to the Halbig v. Burwell ruling that ACA subsidies are only available to consumers in state-run Marketplaces. Florida CHAIN issued a statement explaining the immediate impact of the ruling. NHeLP also issued a statement praising the unanimous opinion in King v. Burwell that upheld the ACA’s subsidies in state-run Marketplaces.

  • NHeLP Comments on Draft Marketplace Renewal Issuer Notices

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    NHeLP: The National Health Law Program (NHeLP) sent comments to CMS on its June 26th “Insurance Standards Bulletin Series” which contained draft notices that issuers must provide to Qualified Health Plan (QHP) enrollees as part of the redetermination process. The comments recommend simplifying notice language to be more consumer friendly and separating notices that contain generalized information from those containing personalized information or requiring consumer action. NHeLP also recommended that issuer notices conform with accessibility requirements and that CMS create a notice development checklist for State-Based Marketplaces. KidsWell grantee, Community Service Society of New York (CSS), and other advocates joined the comment letter.  

  • NHeLP Publishes ACA Litigation Primer

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    NHeLP: The National Health Law Program released a newsletter highlighting ongoing ACA litigation.  The newsletter summarizes major cases seeking to: repeal the ACA; strike down the contraceptive coverage requirement; and enforce specific ACA provisions.
  • CCF & NHeLP To Host State Partner Call on Pregnant Women Coverage

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    CCF & NHeLP:  The Georgetown Center for Children and Families, the National Health Law Program, and the National Women’s Law Center will co-host a State Partner call on June 17, 2014 to discuss coverage for pregnant women under the ACA.
  • NHeLP Highlights Medi-Cal Coverage for Former Foster Youth

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    NHeLP: The National Health Law Program published a brief on Medi-Cal eligibility for former foster youth under the ACA.  The brief highlights states’ obligations to provide Medicaid coverage to former foster youth until age 26 and California’s approach to implementation, including the decision to extend Medi-Cal coverage to former foster youth from other states.   

  • NHeLP Highlights Pediatric Dental Coverage in Covered California

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    NHeLP: The National Health Law Program published a brief on pediatric dental coverage in California’s Exchange.  The brief highlights the Exchange’s decision to shift from only offering stand-alone dental plans in 2014 to offering health plans with embedded pediatric dental benefits in 2015.

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