Operationalizing New H.R.1 Medicaid Copay Requirements: A Toolkit for States
This toolkit is intended to support states in understanding and implementing H.R.1’s new copay requirements for certain Medicaid expansion enrollees that meet specific income requirements. The toolkit provides an overview of the new copay requirements and proposes an operational approach to ensure compliance with federal requirements and reduce states’ administrative burden and potential barriers for members.
How to Talk About Medicaid Work Reporting Requirements: Core Messages for State Communicators – Part 1
This messaging guide supports state Medicaid agencies in communicating with residents—including enrollees and applicants—about the implementation of work reporting requirements under H.R.1. The messages below reflect federal law and guidance available as of May 2026.
How to Talk about Medicaid Work Reporting Requirements: Language Recommendations for State Communicators
This resource is intended to support states and key partners as they explain work reporting requirements in H.R.1 and develop materials—including notices, letters, frequently asked questions, websites, and training resources. It is designed to help states and partners create clear, linguistically and culturally appropriate materials for people enrolled in or eligible for Medicaid.
Beneficiary Advisory Council (BAC) Annual Report Toolkit
The CMS Access Rule requires states to publish an Annual Medicaid Advisory Committee Report, a critical component of which is a distinct section dedicated to describing the activities of the Beneficiary Advisory Council (BAC). The first of these annual reports is due by July 9, 2026. This toolkit includes a variety of resources to guide states in creating and formatting the BAC section of the Annual Report. States can customize the content of these materials, which include a BAC Annual Report Template and a BAC Effectiveness Assessment Survey Tool.
State Marketplace Subsidies to Support Health Insurance Affordability
As states seek to make health insurance more affordable, State-Based Marketplace subsidies are a potential solution to help Marketplace consumers pay for coverage. This issue brief explores reasons states consider subsidies, design options, and state action to date. This resource is for state policymakers considering whether to create a subsidy and how to structure it.
Proposed 2027 Notice of Benefit & Payment Parameters: Key Considerations for States
On Friday, February 27, State Health and Value Strategies hosted a webinar analyzing the annual proposed 2027 Notice of Benefit & Payment Parameters (NBPP), which includes a broad set of policy and operational changes for states. During the webinar, SHVS experts reviewed the 2027 NBPP proposed rule and discussed considerations for state Marketplaces and departments of insurance. The webinar also included a question and answer session during which attendees posed their questions to the experts on the line.
Preparing Consumers for Changes to Medicaid
On Thursday, February 19, State Health and Value Strategies hosted a webinar on communicating the new work reporting requirements under H.R.1. A robust communications and outreach strategy can help states protect coverage for eligible enrollees and support broader operations as they roll out these new requirements. During the webinar, experts from GMMB provided an overview of key H.R.1 provisions related to communications and walked through a communications workplan to support outreach on the new reporting requirements. Experts from Health Equity Solutions also shared recommendations from the toolkit Engaging Enrollees in Medicaid Work Reporting Requirements Implementation and highlighted ways states can involve people enrolled in Medicaid in communications planning and message development.
Proposed Marketplace and Insurance Changes in the 2027 Notice of Benefit & Payment Parameters: Implications for States
On February 9, 2026, the Centers for Medicare & Medicaid Services released its annual proposed rule governing the Affordable Care Act Marketplaces and insurance reforms. The proposed “Notice of Benefit & Payment Parameters,” includes a broad set of policy and operational changes for 2027 that implement elements of H.R.1, roll back several Biden-era policies, revisit provisions of the Marketplace Integrity final rule, and introduce several new policies. This issue brief reviews provisions of the proposed rule with particular import for State-Based Marketplaces and state insurance departments.
Communications Workplan: Preparing for the Implementation of Medicaid Work Reporting Requirements
Work reporting requirements marks a major shift in how Medicaid operates and how consumers access and maintain their coverage. This workplan is designed for state Medicaid and health and human services communications staff responsible for planning and executing outreach related to new work reporting requirements. States can use it to inform the creation of communications efforts or to cross-reference existing plans, ensuring key tactics are considered, gaps are identified, and strategies are aligned around maintaining coverage for eligible people enrolled in Medicaid.
Reshaping Medicaid: Considerations for Monitoring the Impact of H.R.1
H.R.1 makes sweeping changes across the Medicaid program, including major shifts in enrollment, eligibility, expenditures, and operations. To understand these impacts, it is imperative that state officials develop a monitoring strategy. This issue brief outlines the strategic case for investment in monitoring, provides a phased action timeline for states to implement monitoring activities, and details potential priority monitoring domains.