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 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 budget request details ADES's FY2027 funding priorities—including developmental disability services, child care, IT modernization, and compliance with H.R. 1—and outlines projected fiscal impacts, caseload growth, and programmatic needs across the state
This slide deck describes the main mechanisms in a dynamic analysis of H.R. 1, explains the changes to SNAP, and explains the macroeconomic effects and budgetary feedback of those changes.
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 milestone table outlines a detailed roadmap for states to implement mandatory Medicaid work reporting requirements under H.R. 1 by January 1, 2027.
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 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.
The article analyzes the impacts of Arkansas's Medicaid work requirements, finding that while coverage losses were reversed after the policy was halted, it did not improve employment and led to negative consequences such as increased medical debt and delayed care.
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 event convened policy experts and state leaders to explore how states can operationalize new Medicaid work reporting mandates—covering technical, legal, and implementation challenges.
This report warns that federal data collection is being undermined by budget cuts, political interference, and leadership changes that threaten the reliability of core economic and social statistics.
