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  • A Guide to the Medicaid Appeals Process

    Issue Brief

    This background brief provides a comprehensive look at the appeals process for the Medicaid program, which differs significantly from those available through the Medicare program and private health insurance. The Medicaid appeals process provides redress for individual applicants and beneficiaries seeking eligibility for the program or coverage of prescribed services, but the process is multi-layered and can be complex to navigate. The guide describes Medicaid's appeals system, including the fair hearing process and the appeals…

  • Explaining Armstrong v. Exceptional Child Center: The Supreme Court Considers Private Enforcement of the Medicaid Act

    Issue Brief

    On January 20, 2015, the United States Supreme Court will hear oral argument in Armstrong v. Exceptional Child Center, a case that raises the issue of whether Medicaid providers can challenge a state law in federal court on the basis that it violates the federal Medicaid Act and therefore is preempted by the Supremacy Clause of the U.S. Constitution. This issue brief examines the major questions raised by the Armstrong case, explains the parties’ legal…

  • Infographic: How Does Where You Work Affect Your Contraceptive Coverage?

    News Release

    The Affordable Care Act’s requirement that most private health insurance plans provide contraceptive coverage has been the focus of ongoing litigation in the federal courts. In response to recent Supreme Court actions in the Hobby Lobby and College of Wheaton cases, the U.S. Department of Health and Human Services issued an interim final rule and a proposed rule on August 22, 2014 addressing how some employers with religious objections to birth control can comply with…

  • Web Briefing for Media – The Supreme Court, Birth Control, and Religious Freedom: Implications of Zubik v. Burwell

    Event Date:
    Event

    On March 23, the U.S. Supreme Court will hear Zubik v. Burwell, legal challenges brought by nonprofit corporations challenging the Affordable Care Act's contraceptive coverage requirement. The 2014 Hobby Lobby decision established that certain firms with religious beliefs should be relieved of the requirement of paying for contraceptive coverage. In this case, religious nonprofits are objecting to the regulations that the Obama Administration has developed to accommodate their religious objections to birth control, claiming it…

  • Supplemental Security Income for People with Disabilities: Implications for Medicaid

    Issue Brief

    This issue brief describes key characteristics of SSI enrollees, explains the SSI eligibility criteria and eligibility determination process, and considers the implications of changes in the SSI program for Medicaid, including the effects of the COVID-19 pandemic and resulting economic downturn as well as proposals supported by President Biden that Congress might consider.

  • State Actions to Protect and Expand Access to Abortion Services

    Issue Brief

    This brief reviews the status of state actions to strengthen and guarantee abortion access to their residents, as well as to prepare for the likely increase in demand for abortion services in those states should the high court overturn the constitutional right to abortion established by Roe v. Wade.