Hep ElimiNATION, a collaboration between the O’Neill Institute for National and Global Health Law at Georgetown University Law Center, National Viral Hepatitis Roundtable, and the Center for Health Law and Policy Innovation of Harvard Law School, has released final, revised grades on states’ capacity for viral hepatitis elimination for 2022. This release ensures that stakeholders and advocates from across the country have the most current and comprehensive analysis of the country’s capacity to eliminate viral hepatitis. We also added a list of resources to the website for state officials, advocates, and other stakeholders interested in understanding how to review and modernize their jurisdiction’s laws, policies, and regulations to best support viral hepatitis elimination efforts. Hep ElimiNATION is the country’s first comprehensive analysis of the policy landscape and programmatic strategies aimed at viral hepatitis elimination in the 50 states, Washington, DC, and Puerto Rico.

The updated grades take into account actions that states have taken since the initial grade release in January, feedback from the 90-day public comment period, and revised Hepatitis C: State of Medicaid Access grades that consider an expanded range of barriers to HCV treatment access for Medicaid beneficiaries. Eight states received a grade increase while four states received a grade decrease.

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The scoring rubric for Hep ElimiNATION will be evaluated annually to ensure that it is responsive to the evolving elimination landscape and reflects the most current strategies and evidence base. State scores will be updated at least annually, and Hep ElimiNATION will continually monitor nationwide elimination efforts.

We encourage you to review your jurisdiction’s grade and score for each indicator on the Hep ElimiNATION website and explore the corresponding resources to advance viral hepatitis elimination in your jurisdiction. The resource list includes national, state, and local resources and examples of programs, policies, and legislation that some states have already implemented in support of viral hepatitis elimination efforts.

If you would like to contribute to this list, please contact Sonia Canzater at sc1574@georgetown.edu.