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 research article explores how framing income eligibility guidelines in either dollar amounts or as a percentage of the Federal Poverty Line (FPL) affects public attitudes toward program access and administrative burdens in Medicaid and SNAP.
This report summarizes insights from interviews with seven states on how they are adapting integrated eligibility and enrollment (IEE) systems in response to sweeping federal changes to SNAP and Medicaid under H.R. 1.
This blog explains how the Rural Health Transformation Program—established under H.R. 1—will channel $50 billion over five years to states to support rural health care, and outlines how states can apply, qualify, and deploy funds strategically.
Association of State and Territorial Health Offices (ASTHO)
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.
The article examines the effects of Arkansas’s Medicaid work requirements, finding substantial coverage losses and no significant increase in employment, compounded by widespread confusion among beneficiaries about the policy.
This article provides an overview of the Medicaid Payment Error Rate Measurement (PERM) program and examines how the 2025 budget reconciliation law introduces new federal funding reductions for states that exceed specific eligibility error thresholds.
This crosswalk compares provisions in H.R. 1 with existing human services policies, focusing on how proposed federal work requirements could affect programs like TANF, SNAP, and Medicaid.
American Public Human Services Association (APHSA)
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 report examines Georgia’s Medicaid demonstration testing work requirements—the only such active program in the nation—and provides detailed findings on administrative costs, implementation challenges, and federal oversight weaknesses.
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.
This paper evaluates the technical vendor landscape as states prepare to implement Medicaid work requirements mandated by the H.R. 1 reconciliation law.
