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 outlines the foundational requirements and policy choices that states must consider as they prepare to implement mandatory Medicaid work reporting 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.
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.
A technical guide that outlines policy and system design strategies states can use to reduce procedural terminations when implementing Medicaid work reporting requirements.
This publication explains current state integrated eligibility and enrollment (IEE) system implementation processes, approaches, and opportunities for future processes and technologies. It is a resource for state officials, advocates, funders, and tech partners working to implement these systems.
This toolkit provides guidance to help states implement Medicaid Advisory Committees (MACs) and Beneficiary Advisory Councils (BACs) in accordance with new federal requirements designed to strengthen beneficiary input in Medicaid program oversight.
A strategy outlining a new, outcome-driven, slice-based approach to modernizing Medicaid Enterprise Systems, prioritizing experimentation, measurable outcomes, and cultural transformation over traditional large-scale system replacements.