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.
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.
A directive issued by the Commonwealth of Virginia to materially reduce the error rate in Supplemental Nutrition Assistance Program (SNAP) benefit processing among local social services offices.
A summary of the initial CMS guidance (CMCS informational bulletin) on how states should implement Medicaid work reporting requirements under H.R. 1, clarifying high-level expectations and key technical points.
A practical guide for advocates that explains how automated benefit notices are generated, where common notice failures originate, and how to push for effective fixes.
An advisory playbook to help state and local government leaders improve SNAP payment accuracy and lower administrative burdens following the passage of H.R. 1.
This is a practical, plain-language screening tool designed to help SNAP clients determine if they qualify for exemptions from the program's work requirements.
A research brief explaining how work requirements in programs like Medicaid and SNAP reduce coverage, increase administrative costs, and push eligible people deeper into poverty without improving employment outcomes.
