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Proposed Medicaid rule would change “hold harmless” limits for certain health care taxes

CMS proposes new standards for when an “indirect hold harmless” arrangement exists for health care-related taxes. The changes would generally start October 1, 2026, with additional phase-down steps in expansion states beginning October 1, 2027.

Jul 23, 20264 min read

Lawmakers urge Congress to end ICE detention and cut ICE funding under the Melt ICE Act

Advocates and members of Congress launched a campaign calling for an end to ICE detention centers and expansion. They are pushing Congress to pass the Melt ICE Act (H.R. 7190) to end DHS authority and funding for detaining and monitoring immigrants.

Jul 22, 20264 min read

CMS seeks public comments on draft guidance for IRA Medicare drug price rules in 2028

CMS released draft guidance on how drug makers would carry out the “maximum fair price” for certain Medicare drugs in 2028. The agency is asking the public to submit comments.

Jul 20, 20264 min read

Work visa

USCIS hits the FY 2027 H-1B cap for both regular and master’s visas

USCIS says it has received enough H-1B petitions to reach the FY 2027 regular cap and the 20,000 master’s cap. This means new H-1B filings under those caps may be limited going forward.

Jul 17, 20263 min read

Advocates warn Trump “public charge” rule could restrict immigrants’ access to health and food aid

The National Immigration Law Center says a finalized “public charge” rule would make immigrants afraid to use basic services like health care and food assistance. The group also says the rule is unlawful and plans to challenge it.

Jul 16, 20264 min read

Proposed Medicare rule would update 2027 payment and coverage policies for Part B providers

CMS has published a proposed federal rule for 2027 that would update Medicare payment rates and several Part B policies, including drug and lab payment rules and shared savings program requirements.

Jul 16, 20264 min read

General updates

Supreme Court rejects Trump bid to end birthright citizenship

The U.S. Supreme Court struck down a Trump administration effort to end birthright citizenship. People born in the U.S. remain U.S. citizens under the 14th Amendment.

Jun 30, 20264 min read

General updates

Supreme Court keeps birthright citizenship: children born in the U.S. are citizens

A Supreme Court decision upheld birthright citizenship under the 14th Amendment. The National Immigration Law Center says it’s a major win, but warns immigrant communities still face ongoing threats.

Jun 30, 20263 min read

Federal rule would add a community engagement requirement for some Medicaid enrollees

A new federal rule published in the Federal Register proposes a community engagement requirement for certain Medicaid recipients. The change could affect eligibility for some people, depending on how states implement it.

Jun 29, 20264 min read

Proposed rule would tighten sponsor checks for unaccompanied children, including identity and income proof

A new federal proposed rule would add documentation standards for sponsors of unaccompanied children in ORR custody, including proof of identity and proof of income. It also would update parts of background-check and safety-related assessment requirements.

Jun 26, 20265 min read

Asylum / Refugee

Supreme Court rulings clear way to end TPS for Haiti and Syria and restrict asylum at the border

A Supreme Court decision cleared the way for the Trump administration to end Temporary Protected Status (TPS) for Haiti and Syria. Advocates also say the rulings further weaken people’s ability to seek asylum at the U.S.-Mexico border.

Jun 25, 20264 min read