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)
This report provides an initial fiscal analysis of how H.R. 1 (the “One Big Beautiful Bill”) will affect the state’s federally funded programs across agencies, estimating multi-billion-dollar reductions in SNAP, Medicaid, education, and infrastructure revenues.
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 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 blog introduces Code for America’s new service blueprint for Medicaid work requirements, highlighting how it can help states map system changes, identify pain points, and prioritize human-centered design.
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 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.
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 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 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 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.
