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 webpage provides state agency resources and policy memos detailing how the One Big Beautiful Bill Act (H.R. 1) of 2025 affects SNAP implementation.
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 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.
A policy guidance document outlining practical steps states can take to reduce harm to immigrant communities following major Medicaid eligibility restrictions enacted under federal budget reconciliation legislation.
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.
