This report explains how states can continue to voluntarily implement key Medicaid and CHIP eligibility and enrollment improvements—originally required by two federal rules—despite a ten-year moratorium enacted in July 2025 that blocks their mandatory enforcement
This milestone table outlines a detailed roadmap for states to implement mandatory Medicaid work reporting requirements under H.R. 1 by January 1, 2027.
A detailed guide outlining how states can minimize coverage losses and administrative burden while implementing new Medicaid work requirements established under the 2025 federal reconciliation law.
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)
A research brief explaining how work requirements in programs like Medicaid and SNAP reduce coverage, increase administrative costs, and push eligible people deeper into poverty without improving employment outcomes.
This article offers three human‑centered strategies to help state agencies implement expanded work reporting requirements in SNAP and Medicaid under H.R. 1 with minimal burden on clients and staff.
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.
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.
