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 report outlines the foundational requirements and policy choices that states must consider as they prepare to implement mandatory Medicaid work reporting under H.R. 1.
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 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 technical guide provides a framework for state agencies to minimize procedural terminations and health coverage losses resulting from new Medicaid work reporting requirements.
This webinar presentation outlines the essential communication requirements and outreach standards for states preparing for Medicaid work reporting mandates starting in 2027.
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 guide explains how states can implement new Medicaid work requirements introduced by H.R. 1, focusing on minimizing harm to eligible clients while preparing for compliance by 2027.
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 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 11x17 service blueprint visualizes every step, system, and policy decision involved in implementing Medicaid work requirements under H.R. 1—from application to renewal—identifying pain points, questions, and opportunities for states to streamline and humanize the process
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.
