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Opposing Dr. Oz’s Proposed Restrictions on Medicaid State Directed Payments

| Jul 29, 2026

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This month, we submitted comments to the Centers for Medicare & Medicaid Services strongly opposing a proposed rule that would enact extreme restrictions on State Directed Payments (SDPs), harming millions of women and their families.

State-directed payments (SDPs) play a pivotal role in delivering access to affordable healthcare through Medicaid. And Medicaid is the largest source of coverage for pregnancy, birth, and postpartum care nationwide.

Without SDPs, rural communities will lose access to critical and life-saving services like emergency care, primary care, pediatric care, obstetrics care, and more.

Read our full comment in our latest LinkedIn article and follow us on LinkedIn for more.

About the Author

Nima Sheth

Nima Sheth

Nima Sheth is the vice president of health justice at the National Partnership for Women & Families, where she leads the organization’s portfolio on maternal health, reproductive rights, and health system transformation to improve healthcare outcomes and reduce disparities for all women and families nationally. She has extensive experience leading strategic planning initiatives, developing policy, and designing and implementing large-scale domestic and global programs at the intersection of women and children, health systems, social determinants of health, workforce, policy, and refugee health. Nima has led Postpartum Support International’s (PSI) Mind the Gap Initiative as Director of Policy and Networks of The Reilly Group, focusing on building national and state coalitions that advance maternal-child health policy. She recently served as the Associate Administrator for Women’s Services at the U.S. Department of Health and Human Services and Senior Medical Advisor at the Substance Abuse and Mental Health Services Administration (SAMHSA), where she led the national Task Force on Maternal Mental Health. She continues to teach courses on medicine and social justice at Georgetown University Hospital as Assistant Professor of Clinical Psychiatry where she previously served as a clinician and researcher, focusing her efforts on improving the care of the critically ill and highly traumatized populations. Nima holds an B.A. and M.D. from Saint Louis University and an MPH from the University of Illinois at Chicago.