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.

Regulatory Analysis

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  • 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 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 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 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 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 E-Newsletter on the Need for New Medicaid Managed Care Regulations

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    NHeLP: In the latest issue of the Health Advocate, the National Health Law Program highlights the need for updated federal regulations for Medicaid managed care. Today, nearly three quarters of Medicaid beneficiaries receive services through a type of managed care arrangement and nearly all state Medicaid agencies contract with managed care entities. 

  • NHeLP Publishes Series on Medicaid Managed Care

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    NHeLP: The National Health Law Program published a series on Medicaid Managed Care model provisions. Each issue tackles a specific aspect of  managed care, including beneficiary grievances and appeals; enrollment and disenrollment; network adequacy; accessibility and language access; and quality and transparency (forthcoming), and provides alternative model provisions for policymakers and advocates to utilize when updating regulations, contracts, and policies. 

  • NHeLP Issues Recommendations for Modernization of Medicaid Regulations

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    NHeLP: The National Health Law Program published recommended language to update  Medicaid managed care regulations (42 C.F.R. Part 438) which have not been updated since 2002. The recommended language encompasses today’s managed care population that includes people who have disabilities, who are older, and/or who have limited English proficiency. 

  • National Health Law Program Issues Resources on EPSDT Services for Medicaid-Eligible Children

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    NHeLP: The National Health Law Program (NHeLP) issued two resources on the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) service for Medicaid-eligible children and youth:

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