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 blog analyzes how the One Big Beautiful Bill Act (OBBBA) will dramatically shift SNAP costs onto state governments, projecting massive budget increases and fiscal strain.
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.
An interactive dashboard that enables users to explore and monitor key metrics of the Supplemental Nutrition Assistance Program (SNAP) Quality Control (QC) system.
This document provides two Spanish language templates for SNAP agencies to use to communicate SNAP work requirement changes to participants who are newly subject to requirements.
American Public Human Services Association (APHSA)
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 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)
