Category: Advocacy Center News

Our Health Insurance Navigators Are Leading the Way in Healthcare Access, and Now They’re Award-Winning

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At Charlotte Center for Legal Advocacy, we know that access to healthcare changes lives—and so does the dedication of the people who help make that access possible.

As a part of the North Carolina Navigator Consortium, our federally certified Health Insurance Navigators provide free, unbiased assistance to individuals and families who need help navigating health insurance options under the Affordable Care Act (ACA), along with Medicaid and other federal and state programs.

Advocacy Center Navigators Honored with Statewide Award for Impact on Healthcare Enrollment

In March, our Health Insurance Navigators received the Consortium Member Impact Award from the NC Navigator Consortium. This recognition celebrates the Navigators’ exceptional contributions to public health through their work supporting Affordable Care Act (ACA) and Medicaid enrollment efforts across North Carolina.

The award was presented during a special gathering in Raleigh that marked two major milestones: the 15th anniversary of the ACA and the enrollment of more than 640,000 North Carolinians in Medicaid expansion. Navigators from across the state joined community partners and fellow advocates to celebrate these achievements.

Advocacy Center Navigators Recognized at Assister Appreciation Event

In April, two Advocacy Center Health Insurance Navigators received top honors at the North Carolina Annual Assister Appreciation Event in Greensboro.

Tanja Pauler was named Navigator of the Year. This award goes to a Navigator who has shown exceptional dedication and outstanding service throughout the year, continuously going above and beyond to help our communities navigate the healthcare system and access health coverage. 

Natalie Marles, Health Insurance Navigator Project Manager, shared:

Since joining the CCLA team in 2022, Tanja has been an incredible addition to our team in the constantly changing world of access to healthcare. Her dedication, expertise, and strong integrity have raised the bar for what it means to advocate for those trying to navigate the often-tricky world of health coverage. Tanja has tackled some of the toughest challenges in our field, especially those involving agent and broker fraud and the complexities of Medicaid eligibility during the expansion. These are not easy topics to navigate; they demand a deep knowledge of policy, attention to detail, and a heartfelt commitment to clients’ well-being. Tanja brings all of this—and so much more—every single day. Her clients see her as not just a Navigator, but as a trusted friend and advocate. Her colleagues think of her as a go-to resource, a collaborative partner, and a caring presence. We all know her work has made a real impact on the lives of many people. Tanja, your professionalism, compassion, and tireless commitment to helping your clients embody the spirit of this award.

Natalie Marles was honored as the Health Access Champion, a recognition reserved for those who go above and beyond in their efforts to ensure North Carolinians can access vital healthcare services and coverage. Natalie’s leadership has been critical in supporting our team and driving impact across the region.

Julieanne Taylor, Interim Director of the Family Support & Health Care Program, said:

Since becoming the Navigator Program Manager at the Advocacy Center, Natalie has worked tirelessly with her team to reach as many North Carolinians as possible to ensure they have access to healthcare. Natalie’s passion for helping others is evident in her fearlessness to fight for immigrant families and those who are underserved in our community. Natalie is a trusted community leader and has cultivated relationships with countless partner organizations across North Carolina to expand her impact in the healthcare arena. Natalie has hosted Health & Human Services Secretary Xavier Becerra, Vice President Kamala Harris, and has been recognized by Former NC Governor Roy Cooper for her Medicaid Expansion efforts. Natalie is beyond deserving of this honor and we are so proud of the incredible work she does everyday. Congratulations, Natalie!!

We are so proud of both Tanja and Natalie and grateful for the dedication they bring to this work. Their commitment makes a difference every single day.

If you or someone you know needs help understanding their health coverage options, our team is here to help.

Call 980-256-3782 or visit www.ncnavigator.org to schedule a free appointment.

Funding for Legal Services for Unaccompanied Children at Risk

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There is no guaranteed right to a lawyer or legal representation in immigration court. This means that if you cannot afford an attorney, you must represent yourself in court in front of an immigration judge and against a trained government attorney.

On Feb. 18, the federal government issued a stop work order on the Unaccompanied Children Program (UCP), impacting the ability for our immigration advocates to serve their clients. Thanks in large part to community pressure, the order was lifted three days later, but there is fear that the administration could still try to cut funding for the program when the UCP program is up for renewal at the beginning of March.

The age and circumstances of our clients vary, with some as young as just a few months old. It is virtually impossible for a child to successfully navigate a complex legal system alone, without a specialized children’s rights attorney. 

Contact your members of Congress and demand that they take action to defend this life-saving program.

Defend Legal Services for Unaccompanied Children

U.S. Court Ruling Blocks Marketplace Access for DACA Recipients in Some States – No Impact in North Carolina

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Charlotte, N.C. – A Dec. 9, 2024, federal court decision blocked access to the Health Insurance Marketplace® for DACA recipients living in states that challenged a Biden administration ruling earlier this year making them eligible; the Dec. 9 court decision does not apply to N.C. This means that DACA recipients and other lawfully present immigrants who reside in N.C. can still access affordable health insurance via the HealthCare.gov Marketplace. The Charlotte Center for Legal Advocacy (Advocacy Center) is part of the NC Navigator Consortium; their health insurance navigators are standing by to help residents of Cabarrus, Mecklenburg and Union Counties get covered via HealthCare.gov or N.C. Medicaid.

“To reiterate, this ruling does not impact any eligible North Carolina resident who wants to use the Marketplace to find a high-quality health plan that is affordable,” said Natalie Marles, the health insurance navigator project manager for the Advocacy Center. She added that DACA recipients and eligible immigrant groups are also eligible for financial assistance and subsidies.

As for the future of the Affordable Care Act, Marles added, “Even though this recent ruling has national implications for the future, it will not affect North Carolina residents for this Open Enrollment period or the coverage that they have enrolled in or will secure for 2025.”

These groups are also eligible for a special enrollment period (SEP) that enables them to secure coverage quicker. According to the Centers for Medicare & Medicaid Services (CMS):

“Newly eligible individuals, including DACA recipients, will qualify for a special enrollment period to enroll in a QHP through the Marketplace during the 60 days following November 1, 2024 … Consumers who apply for coverage through a SEP during December 2024 can have their Marketplace coverage begin as early as January 1, 2025, if they meet all other eligibility requirements.” This means those who enroll by Dec. 31, 2024, can get coverage that starts Jan. 1, 2025, or Jan. 15, 2025, to start coverage in February 2025 or even beyond.

For those not included in the SEP, the current HealthCare.gov Open Enrollment period will run through Jan. 15, 2025. Those looking to start coverage on Jan. 1, 2025, will need to enroll before this Sunday, Dec. 15, 2024. 

During Open Enrollment, health insurance navigators at the Advocacy Center work directly with everyone eligible in Cabarrus, Mecklenburg and Union Counties to help them save money on high quality, affordable health insurance plans on the HealthCare.gov Health Insurance Marketplace. (Navigators also help those eligible enroll in NC Medicaid.) HealthCare.gov Open Enrollment will run Nov. 1, 2024, through Jan. 15, 2025. More information is available at charlottelegaladvocacy.org/getcovered.

As a member of the NC Navigator Consortium, Charlotte Center for Legal Advocacy navigators are available to provide free, unbiased advice to residents of Cabarrus, Mecklenburg and Union Counties. Navigators are federally certified and extensively trained in the insurance plan options offered by the Marketplace, in addition to cost-sharing reductions and premium tax credits eligibility. Additional assistance is provided to consumers who are disabled, do not speak English or are unfamiliar with health insurance.

Free appointments with a local navigator can be made using the statewide appointment hotline at 1-855-733-3711 or local at 980-256-3782 or online at charlottelegaladvocacy.org/getcovered. 

Charlotte Center for Legal Advocacy can provide those in need with information, advice and advocacy in consumer protection, home preservation, health care access and public benefits, immigration, tax assistance and more. Our mission is to pursue justice for those in need. Our vision is to build a just community, where all people are treated fairly and have access to legal representation to meet their basic human needs of safety, economic security and stability. Learn more: charlottelegaladvocacy.org. 

Started in 2014, the NC Navigator Consortium is the only federally funded Navigator entity in the state that serves all 100 counties across North Carolina. Learn more at ncnavigator.org, and follow us on Facebook, Twitter and Instagram. Members of the Consortium are Access East, Care Ring, CareReach, Charlotte Center for Legal Advocacy, Council on Aging of Buncombe County, Cumberland HealthNET, HealthNet Gaston, Kintegra Health, Mountain Projects, NC Field and Pisgah Legal Services. The Consortium is led by Legal Aid of North Carolina. 

Legal Aid of North Carolina is a statewide, nonprofit law firm that provides free legal services in civil matters to low-income people in order to ensure equal access to justice and to remove legal barriers to economic opportunity. Learn more at legalaidnc.org. Follow us on Facebook, Twitter, Instagram, LinkedIn and YouTube. 

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HealthCare.gov Open Enrollment 2025 Kickoff Press Conference Highlights New Insurance Marketplace Ruling for Daca Recipients

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Charlotte, N.C. – HealthCare.gov Open Enrollment 2025 kicked off today with a press conference in Charlotte hosted by Charlotte Center for Legal Advocacy (Advocacy Center) and the NC Navigator Consortium with experts who explained the final rule that allows DACA recipients and other immigrant groups to purchase health insurance through HealthCare.gov. The event also included guest speaker Endy Mendez who is a DACA recipient and health insurance navigator working for the NC Navigator Consortium in Winston-Salem, N.C. After the press conference, navigators helped consumers enroll in and update their HealthCare.gov plans.

During Open Enrollment, health insurance navigators at the Advocacy Center work directly with everyone eligible in Cabarrus, Mecklenburg and Union Counties to help them save money on high quality, affordable health insurance plans on the HealthCare.gov Health Insurance Marketplace®. (Navigators also help those eligible enroll in NC Medicaid.) HealthCare.gov Open Enrollment will run Nov. 1, 2024, through Jan. 15, 2025. More information is available at charlottelegaladvocacy.org/getcovered.

“November 1 marks an important milestone for DACA recipients and many more people who are called ‘lawfully present immigrants’,” said Natalie Marles, the health insurance navigator project manager for the Advocacy Center. “Not only will they have access to healthcare, they may qualify for premium tax credits and other savings on Marketplace plans.”

According to HealthCare.gov: “The term ‘lawfully present’ includes immigrants who have:

  • ‘Qualified non-citizen’ immigration status.
  • Humanitarian statuses or circumstances (including Temporary Protected Status, Special Juvenile Status, asylum applicants, Convention Against Torture, and victims of trafficking).
  • Valid non-immigrant visas.
  • Legal status conferred by other laws (temporary resident status, LIFE Act, Family Unity individuals).”

“More than 20,000 DACA recipients reside in North Carolina according to U.S. Citizenship and Immigration Services, and because of the new rule, they are now eligible for Marketplace plans,” said Marles. “These North Carolinians are your friends, neighbors and coworkers.”

“I am a DACA recipient myself and am currently struggling with renal failure,” said Mendez, a dedicated advocate for the immigrant community in Forsyth and Guilford Counties, N.C. “The lack of access to (the Affordable Care Act) had a huge impact in my life last year.” Mendez has been a health insurance navigator since July 2024, helping others gain access to affordable health coverage. 

“There are still many subsidies and tax credits available through HealthCare.gov, and four out of five families can get coverage for less than $10 a month,” said Nicholas Riggs, director of the NC Navigator Consortium. “It’s important to remember that those who are eligible for NC Medicaid can also use our health insurance navigators to learn more and enroll.”

As a member of the North Carolina Navigator Consortium, Charlotte Center for Legal Advocacy navigators are available to provide free, unbiased advice to residents of Cabarrus, Mecklenburg and Union Counties. Navigators are federally certified and extensively trained in the insurance plan options offered by the Marketplace, in addition to cost-sharing reductions and premium tax credits eligibility. Additional assistance is provided to consumers who are disabled, do not speak English or are unfamiliar with health insurance.

Free appointments with a local navigator can be made using the statewide appointment hotline at 1-855-733-3711 or local at 980-256-3782 or online at charlottelegaladvocacy.org/getcovered. 

Charlotte Center for Legal Advocacy can provide those in need with information, advice and advocacy in consumer protection, home preservation, health care access and public benefits, immigration, tax assistance and more. Our mission is to pursue justice for those in need. Our vision is to build a just community, where all people are treated fairly and have access to legal representation to meet their basic human needs of safety, economic security and stability. Learn more: charlottelegaladvocacy.org.

Started in 2014, the NC Navigator Consortium is the only federally funded Navigator entity in the state that serves all 100 counties across North Carolina. Learn more at ncnavigator.org, and follow us on Facebook, Twitter and Instagram. Members of the Consortium are Access East, Care Ring, CareReach, Charlotte Center for Legal Advocacy, Council on Aging of Buncombe County, Cumberland HealthNET, HealthNet Gaston, Kintegra Health, Mountain Projects, NC Field and Pisgah Legal Services. The Consortium is led by Legal Aid of North Carolina. 

Legal Aid of North Carolina is a statewide, nonprofit law firm that provides free legal services in civil matters to low-income people in order to ensure equal access to justice and to remove legal barriers to economic opportunity. Learn more at legalaidnc.org. Follow us on Facebook, Twitter, Instagram, LinkedIn and YouTube. 

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El Centro de Apoyo recibe la expansión de Medicaid en Carolina del Norte

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La expansión de Medicaid finalmente es una realidad en Carolina del Norte, y el Centro de Apoyo Legal de Charlotte recibió el anuncio del estado, en el que comunicaron que se implementará este programa a partir del 1 de diciembre de este año. Celebramos que casi 600,000 habitantes de Carolina del Norte ahora tendrán acceso a coberturas de salud y ya no tendrán que vivir con miedo a tener enfermedades o accidentes. Al mismo tiempo, los defensores de nuestro Programa de Apoyo Familiar y Atención Médica están listos para monitorear de cerca la implementación del programa y asegurarse de que los residentes elegibles de Carolina del Norte reciban un acceso oportuno y significativo a la cobertura.

Para apoyar este nuevo capítulo de Medicaid en Carolina del Norte, el Centro de Apoyo organizará eventos de inscripción y nuestros navegadores de salud tendrán citas disponibles para toda la comunidad, tanto en persona como de forma virtual, para ayudar con el proceso de inscripción. Para mantenerse al tanto de todos los eventos que organizaremos, por favor siga nuestras redes sociales (Instagram, Facebook, X, LinkedIn) y visite regularmente nuestro sitio web. Creemos que estas iniciativas proporcionarán recursos y asistencia valiosa a quienes lo necesiten, y esperamos tener un impacto positivo en la vida de nuestros vecinos en el área metropolitana de Charlotte.

Advocacy Center welcomes Medicaid expansion in North Carolina

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Medicaid Expansion is finally a reality in North Carolina, and Charlotte Center for Legal Advocacy welcomes the announcement that the state will implement this program beginning December 1st. We celebrate that nearly 600,000 North Carolinians will now have access to health coverage and will no longer have to live in fear of illness or accidents. At the same time, our Family Support and Health Care Program advocates stand ready to closely monitor the program’s implementation to ensure that eligible North Carolinians receive timely, meaningful access to coverage.

In support of this new chapter of Medicaid in North Carolina, the Advocacy Center will host enrollment events, and our navigators will have available appointments, both in person and virtually, throughout the community to assist with enrollment. To stay updated on all the events we will be hosting, please follow our social media channels (Instagram, Facebook, X, LinkedIn) and regularly visit our website. We believe that these initiatives will provide valuable resources and assistance to those in need, and we look forward to making a positive impact on the lives of our neighbors in the greater Charlotte area.

‘Unwinding’ could undermine Medicaid expansion in North Carolina

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By Jaymie Baxley

DHHS thinks 300,000 could lose coverage following the end of a federal mandate that protected enrollees during the COVID-19 pandemic.

When Medicaid expansion was signed into law earlier this year by Gov. Roy Cooper, it was widely heralded as a transformative event for uninsured people in North Carolina.

Amid the bipartisan celebration, there was little mention of the hundreds of thousands of existing enrollees who are expected to lose Medicaid coverage before expansion goes into effect. Few of the revelers acknowledged the less-than-ideal timing of the legislation, which passed just days before the expiration of a federal mandate that had prevented states from kicking Medicaid beneficiaries who became eligible for coverage during the COVID-19 pandemic off of the rolls.

Known as the continuous coverage requirement, the three-year-long mandate ended on April 1, the same week expansion became law. The so-called unwinding of this continuous coverage rule means the state must redetermine the eligibility of more than 2.9 million people who are currently receiving Medicaid. It’s an unprecedented undertaking that some health care advocates fear will trigger a wave of unwarranted terminations.

Before the pandemic, Medicaid recipients usually experienced an annual or semiannual review to verify that they continued to qualify for coverage. But many of the state’s more recent enrollees, who gained coverage during the public health emergency, have never gone through the process. Statewide enrollment grew 36 percent during the pandemic, with over 797,000 people newly qualifying for coverage from March 2020 until April of this year.

Read more at: https://www.northcarolinahealthnews.org/

Advocacy Center Responds to Medicaid Changes

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On April 1st, pandemic-era protections that kept individuals enrolled in Medicaid were rolled back.  The Local Department of Social Services (DSS) resumed redeterminations, reducing or terminating Medicaid coverage for those who are no longer eligible. Experts anticipated that approximately 300,000 North Carolinians would lose access to affordable health care as a result. 

To address the looming crisis, Advocacy Center staff engaged in extensive outreach and education efforts with beneficiaries and providers.  The team offered webinars educating those impacted by the change, initiated a state-wide communication effort to increase awareness and connect beneficiaries with critical resources, and engaged the community and our partners through numerous outreach events.  Efforts were focused on educating individuals and families about their rights and how to navigate the complicated process to ensure they maintain access to care.   In addition, staff continued to provide legal assistance to beneficiaries facing service or eligibility denials.

As a result of a settlement agreement reached in October 2022 in Franklin v. Kinsley, formerly known as Hawkins v. Cohen, the Advocacy Center is in a unique position to ensure beneficiaries’ rights will be protected during the redetermination process.  In the settlement agreement, the North Carolina Medicaid agency agreed to extensive and very detailed changes to its procedures, forms, and notices for redetermining Medicaid eligibility for those currently enrolled in Medicaid.  Through enforcement of the settlement agreement, legal staff can ensure the 2.8 million North Carolinians with Medicaid will not lose coverage for which they are still eligible due to procedural terminations. 

If you think your rights were violated by DSS, call 1-800-936-4971 or email hawkinsinfo@charlottelegaladvocacy.org

Local Immigration Org Expects Surge in Demand Following Title 42 Repeal

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By Ryan Pitkin

With the repeal of the federal public health emergency order on May 11, residents will see a drop in COVID-19 tracking and testing, among other changes, while some non-residents face a more unsure future. Title 42, a provision that has been used to temporarily suspend immigration into the United States during public health emergencies, was also allowed to expire on Thursday. 

While the expiration of the order is expected to lead to backups at the Mexican border, it may also lead to an influx in migrants in the Charlotte area, home to the only federal immigration court in the Carolinas. 

The Charlotte Center for Legal Advocacy (CCLA) is preparing to assist Charlotte-area migrants who may be affected by the ending of Title 42, “adapting to the changing legal environment in order to address the increasing needs of the migrants coming to the area,” according to a release put out by the organization on Thursday. 

“With the ending of Title 42 today, the Advocacy Center recognizes the need for urgent support to migrants who may have been impacted by this provision,” said Sharon Dove, director of the CCLA’s Immigrant Justice Program. “We are committed to the protection and support of our community and to defending all immigrants — both the newly arrived and those who have been here longer — in removal proceedings.” 

CCLA is offering free legal consultations at its Pro Bono Room in east Charlotte, a small room located next to the waiting room at Charlotte Immigration Court, 5701 Executive Center Drive. The consultation aims to empower someone caught up in the deportation process to make an informed choice about whether to spend money on legal fees, which can be extraordinarily expensive, or learn how to represent themselves “pro se” if that’s what they choose to do. 

Read more at: https://qcnerve.com

2022 Annual Report

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Our work focuses on protecting those most vulnerable, ensuring they have access to legal representation to meet their basic human needs of safety, economic security and stability. View our Annual Report to learn about the strides we have made in our pursuit of justice for those in need this past year.