This timeline outlines key Medicaid policy changes introduced by the One Big Beautiful Bill (OBBBA / H.R. 1) with the greatest operational impact on state and territory agencies and highlights upcoming implementation deadlines.
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 budget request details ADES's FY2027 funding priorities—including developmental disability services, child care, IT modernization, and compliance with H.R. 1—and outlines projected fiscal impacts, caseload growth, and programmatic needs across the state
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 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 event convened policy experts and state leaders to explore how states can operationalize new Medicaid work reporting mandates—covering technical, legal, and implementation challenges.
This report explains how states can continue to voluntarily implement key Medicaid and CHIP eligibility and enrollment improvements—originally required by two federal rules—despite a ten-year moratorium enacted in July 2025 that blocks their mandatory enforcement
This 11x17 service blueprint visualizes every step, system, and policy decision involved in implementing Medicaid work requirements under H.R. 1—from application to renewal—identifying pain points, questions, and opportunities for states to streamline and humanize the process
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 memorandum summarizes the fiscal and programmatic impacts of Public Law 119-21 (H.R. 1 – “One Big Beautiful Bill”) on the state, detailing major provisions related to SNAP, Medicaid, higher education, taxation, and other federally funded programs.
A 2025 policy agenda outlining comprehensive federal and state recommendations to eliminate benefits cliffs and strengthen economic mobility for families transitioning off public assistance.
