This guide explains how states can implement new Medicaid work requirements introduced by H.R. 1, focusing on minimizing harm to eligible clients while preparing for compliance by 2027.
Created for use in the Digital Doorways research project, this design stimuli shows the steps of submitting an application, sharing personal information, and verifying identity for Arizona's integrated online application that includes SNAP and Medicaid.
This file contains two, state-agnostic service blueprints that visualize how the new work requirements policy passed as part of H.R. 1 impacts the process of applying for, determining, and maintaining eligibility for SNAP and Medicaid benefits.
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 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 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 2025 policy agenda outlining comprehensive federal and state recommendations to eliminate benefits cliffs and strengthen economic mobility for families transitioning off public assistance.
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.
This site contains resources explaining the 2025 Working Families Tax Cut Act (WFTC) — formally Public Law 119-21, which changes eligibility, financing, and community-engagement requirements for Medicaid and Children’s Health Insurance Program (CHIP).
This publication explains the fundamentals of state IEE systems—including the technology, opportunities, risks, and stakeholders involved. It is a resource for state officials, advocates, funders, and tech partners working to implement these systems.
A summary of the initial CMS guidance (CMCS informational bulletin) on how states should implement Medicaid work reporting requirements under H.R. 1, clarifying high-level expectations and key technical points.
