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.
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.
This report provides an initial fiscal analysis of how H.R. 1 (the “One Big Beautiful Bill”) will affect the state’s federally funded programs across agencies, estimating multi-billion-dollar reductions in SNAP, Medicaid, education, and infrastructure revenues.
This report analyzes how administrative burdens in SNAP caused one in eight working-age adults to lose benefits in 2024, with future federal policy changes expected to worsen disruptions
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 case study describing how Massachusetts is building long-term public-sector capacity to deliver people-centered digital services by strengthening in-house expertise, shared tools, and agency-embedded support.
A strategy outlining a new, outcome-driven, slice-based approach to modernizing Medicaid Enterprise Systems, prioritizing experimentation, measurable outcomes, and cultural transformation over traditional large-scale system replacements.
This publication explains the fundamentals of state IEE systems—including the technology, opportunities, risks, and stakeholders involved. It is a resource for state officials, advocates, funders, and tech partners working to implement these systems.
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.
The GitHub repository for the open-source software and tools developed by the Digital Service at CMS to support modernizing healthcare systems and improving open-source project practices.
This Urban Institute article argues that poverty is driven by structural barriers rather than individual choices and advocates for safety net programs that address systemic inequities.
