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 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 technical guide that outlines policy and system design strategies states can use to reduce procedural terminations when implementing Medicaid work reporting requirements.
This communications workplan provides a strategic framework for state Medicaid agencies to manage outreach and engagement ahead of the January 2027 implementation of Medicaid work reporting requirements.
This presentation focuses on data-driven and analytic strategies for identifying and verifying medical frailty exemptions within Medicaid work requirements.
This file contains two, state-agnostic service blueprints that visualize how the new work requirements policy passed as part of H.R. 1 impacts the process of applying for, determining, and maintaining eligibility for SNAP and Medicaid benefits.
