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 slide deck describes the main mechanisms in a dynamic analysis of H.R. 1, explains the changes to SNAP, and explains the macroeconomic effects and budgetary feedback of those changes.
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 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 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 report warns that federal data collection is being undermined by budget cuts, political interference, and leadership changes that threaten the reliability of core economic and social statistics.
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)
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 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 blog discusses how the “Big Beautiful Bill” (H.R. 1) contains provisions that undermine SNAP and warns that states will be burdened by its fiscal and administrative impact.
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.
