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 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 milestone table outlines a detailed roadmap for states to implement mandatory Medicaid work reporting requirements under H.R. 1 by January 1, 2027.
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.
A report outlining human-centered design strategies to help states implement new federal Medicaid work requirements in ways that minimize coverage loss and administrative burden
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).
A national survey of low-wage workers showing that administrative burdens in SNAP and Medicaid are common and strongly linked to food hardship, healthcare hardship, and chronic illness.
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 policy guidance document outlining practical steps states can take to reduce harm to immigrant communities following major Medicaid eligibility restrictions enacted under federal budget reconciliation legislation.
This resource provides state agencies and their implementation partners with context on how and why to conduct a Digital Identity Risk Management (DIRM) process, as well as a new spreadsheet-based tool to guide agency teams through the process.
