Resources and Toolkits

How States Will Implement H.R. 1’s Medicaid Policies, Including Those Taking Coverage Away for Not Meeting Work Requirements

Analysis examining how states are likely to implement H.R. 1’s Medicaid provisions, including work requirements and other policies that can put eligible people at risk of losing coverage due to administrative barriers.The resource outlines key implementation timelines under both early and standard implementation scenarios, highlighting the first and last enrollee cohorts affected, major state policy…

States Need More Time to Prepare for Medicaid Work Requirement

States face an unrealistic timeline to implement Medicaid work requirements by January 2027 due to the compliance demands of data integration, system upgrades, and application portal modifications. These challenges are compounded by limited federal guidance, technical system constraints, and insufficient state capacity, making it difficult for states to adapt and administer the changes effectively. Consequently,…

Coordinating Medicaid and SNAP Work Requirements to Streamline Determinations

States can simplify and streamline determinations for individuals and agenciesand, reduce administrative burden, and minimize unnecessary coverage loss by leveraging the overlap in compliance activities and exemption reasons for individuals applying for or enrolled in both programs. Strategies on aligning exemptions, sharing data, and integrating verification processes highlighted through process flows and crosswalks.

SNAP Vendor Survey: Results Now Available

By Symonne Singleton (Center on Budget and Policy Priorities) and Alicia Huguelet (Center on Budget and Policy Priorities) HR1 provisions that are adding new administrative requirements to SNAP are taking effect, putting additional pressure on states to demonstrate strong outcomes, particularly around payment error rates, work requirements, timeliness, and caseworker efficiency. To help states navigate…

Open Source Software Tool (OSCER) for Medicaid Work Requirements

Open-source community engagement reporting (OSCER) tool enables states to achieve work requirements compliance automatically using client and ex parte data, or otherwise provide link for manual certification or exemption application. Provides staff with case management and reporting tools, and sends results to state Medicaid agencies for issuance or disenrollment.

Integration Guide for Implementing System Changes

The passage of the One Big Beautiful Bill (also known as OBBBA or H.R. 1) in July 2025 mandated significant changes to key social safety net programs, including the Supplemental Nutrition Assistance Program (SNAP) and Medicaid. To meet these requirements and minimize coverage loss, states must update the technical infrastructure that powers their program delivery….