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 poses the question of whether states are prepared to meet the new Medicaid work reporting and renewal mandates introduced by HR 1, given ongoing strain from the post-pandemic “unwinding.”
This 8.5x11 service blueprint visually maps how Medicaid work requirements will function once implemented in 2027, detailing each policy step, system interaction, and client experience to help states identify administrative challenges and opportunities for human-centered redesign.
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.
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 site contains resources explaining the 2025 Working Families Tax Cut Act (WFTC) — formally Public Law 119-21, which changes eligibility, financing, and community-engagement requirements for Medicaid and Children’s Health Insurance Program (CHIP).
A national survey of low-wage workers showing that administrative burdens in SNAP and Medicaid are common and strongly linked to food hardship, healthcare hardship, and chronic illness.
A technical guide that outlines policy and system design strategies states can use to reduce procedural terminations when implementing Medicaid work reporting requirements.
Louisiana issued an RFI to identify solutions that can provide a technology platform for determining eligibility and managing cases across multiple human services programs.
This publication explains current state integrated eligibility and enrollment (IEE) system implementation processes, approaches, and opportunities for future processes and technologies. It is a resource for state officials, advocates, funders, and tech partners working to implement these systems.
This resource provides state agencies and their implementation partners with context on how and why to conduct a Digital Identity Risk Management (DIRM) process, as well as a new spreadsheet-based tool to guide agency teams through the process.
While most states provide basic digital accessibility, this review warns that persistent gaps in language services and disability accommodations create significant barriers for enrollees as pandemic-era Medicaid protections expire.
