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 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 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 folder contains Medicaid work requirement implementation toolkit, including policy guidance, application templates, question libraries, and a digital prototype designed to help states integrate work requirement questions into Medicaid applications.
The article analyzes the impacts of Arkansas's Medicaid work requirements, finding that while coverage losses were reversed after the policy was halted, it did not improve employment and led to negative consequences such as increased medical debt and delayed care.
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 New York's integrated online application that includes SNAP and Medicaid.
This charter defines the goals, scope and organization of the “Integrated Service Delivery (ISD) Product Office” charged with planning, implementing, governing, and managing all business transformation, change, and systems modernization efforts related to integrated service delivery, focused initially on integrated eligibility and enrollment.
This report analyzes lawsuits that have been filed within the past 10 years arising from the use of algorithm-driven systems to assess people’s eligibility for, or the distribution of, public benefits. It identifies key insights from the various cases into what went wrong and analyzes the legal arguments that plaintiffs have used to challenge those systems in court.
This update highlights progress in improving federal customer experience (CX) following Executive Order 14058, showcasing service enhancements across agencies.
This report explores how state and local agencies can enhance customer service in health and human services by implementing technologies such as web-based tools, mobile applications, and call center innovations, aiming to streamline processes and improve client interactions.
