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.
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 poses the question of whether states are prepared to meet the new Medicaid work reporting and renewal mandates introduced by HR 1, given ongoing strain from the post-pandemic “unwinding.”
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 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 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 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 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).
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.
