This issue brief examines how H.R. 1’s enactment delays implementation of two key Medicaid eligibility rules—one for Medicare Savings Programs (MSPs) and one for general Medicaid/CHIP enrollment and renewal—and the effects of that delay.
This analysis outlines how the federal H.R. 1 legislation will reshape funding, eligibility, and service delivery across key state programs—including SNAP, Medicaid, higher education, and energy—quantifying projected fiscal and human impacts across multiple agencies
Washington State Office of Financial Management (OFM)
This blog explains how the Rural Health Transformation Program—established under H.R. 1—will channel $50 billion over five years to states to support rural health care, and outlines how states can apply, qualify, and deploy funds strategically.
Association of State and Territorial Health Offices (ASTHO)
This report provides supplemental estimates on how Public Law 119-21—tied to H.R. 1—will affect SNAP participation, benefits, and state administrative costs over 2025–2034.
This 8.5x11 service blueprint visually maps how Medicaid work requirements will function once implemented in 2027, detailing each policy step, system interaction, and client experience to help states identify administrative challenges and opportunities for human-centered redesign.
This report provides detailed guidance for states on how to verify compliance with and exemptions from Medicaid work reporting requirements established under H.R. 1.
This report provides an initial fiscal analysis of how H.R. 1 (the “One Big Beautiful Bill”) will affect the state’s federally funded programs across agencies, estimating multi-billion-dollar reductions in SNAP, Medicaid, education, and infrastructure revenues.
This guide outlines key strategies, definitions, and procedures for improving SNAP payment accuracy and reducing quality control (QC) error rates across states.
This report summarizes insights from interviews with seven states on how they are adapting integrated eligibility and enrollment (IEE) systems in response to sweeping federal changes to SNAP and Medicaid under H.R. 1.
A detailed guide outlining how states can minimize coverage losses and administrative burden while implementing new Medicaid work requirements established under the 2025 federal reconciliation law.
