Implementing Benefits Eligibility + Enrollment Systems: State Responses to H.R. 1 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. Read More

OBBBA Medicaid Policy Timeline - National Association of Medicaid Directors The One Big Beautiful Bill Act (OBBBA)includes a number of major Medicaid policy changes that will demand significant time and planning from state and territory agencies. This timeline spotlights key provisions with the greatest operational impact, such as those that may require new systems, budgetary

OBBBA Rollout: Tracking When Key Provisions Take Effect On July 4, 2025, President Donald Trump signed congressional Republicans’ One Big Beautiful Bill Act (OBBBA) into law—enacting the largest-ever cuts to basic needs programs in U.S. history in order to fund tax cuts for the ultra-wealthy. The law’s provisions have dozens of staggered beginning and