The OBBB Act: State-Level Advocacy Resources and Responses
The One Big Beautiful Bill Act (HR 1) was signed into law on July 4, 2025, with major implications for the nation’s youngest children and families.
State-level advocacy is now central to protecting essential programs for young children and their families. Here, advocates can find resources, strategies, and news that can help them in their respective states.
State Responses and Action
Community/District-Level Data
County Maps: What Arkansas Communities Stand To Lose, Arkansas Advocates for Children, July 2025.
Cuts by County: Mapping the Impacts of H.R. 1 on SNAP and Medicaid in Virginia, Voices for Virginia’s Children, August 2025.
Visualizing H.R. 1 Cuts Data Dashboard, Maine Children’s Alliance, January 2026.
Protecting the Health of Washington’s Children: Understanding the Impacts of H.R. 1, Children’s Alliance, February 2026.
State Legislative Actions in 2026
How are H.R. 1 Cuts and Changes to Medicaid and SNAP Playing out in 2026 State Legislative Sessions So Far?, Georgetown’s Center for Children and Families, March 2026.
State-Specific Impact Explainers
Q&A: How Does The New Federal Budget Law Undermine Health Care For California’s Kids?, Children Now, July 2025.
One Big Beautiful Bill: What does it mean for Colorado kids?, Colorado Children’s Campaign, July 2025.
The Stakes Are High: Protect Medicaid and The Stakes Are High: Protect SNAP, Michigan League for Public Policy, July 2025.
One Big Beautiful Bill Act has serious implications for Medicaid, SNAP, First Five Nebraska, July 2025.
Big Medicaid Changes Coming Following Trump’s July 4th Budget Bill, Advocates for Children of New Jersey, July 2025.
The Ripple Effect of H.R. 1: How Federal Cuts Endanger Ohio’s Families and Future, Groundwork Ohio, July 2025.
Estimated Impacts of H.R. 1, Oregon Department of Administrative Services, August 2025.
Looking Ahead: The Impact of HR1 on Utah’s Immigrant Families, Voices for Utah Children, September 2025.
What Healthcare Providers Need to Know about SNAP Medical Exemptions, Community Legal Services of Philadelphia, August 2025.
Community Partner ABAWD Exemption Request, Community Legal Services of Philadelphia, October 2025.
Campaigns
ProtectMICare, Michigan ProtectMICare Coalition.
Speak Up for NC Medicaid, NC Child.
The Campaign to Protect Medicaid and Factsheets, Groundwork Ohio.
Medicaid
Implementing Work Requirements
Tracking Implementation of the 2025 Reconciliation Law: Medicaid Work Requirements, KFF.
Mandatory Job Assistance for Medicaid- Community Engagement Demonstration Program, Kentucky’s Office of the Governor, June 2025.
He built Michigan’s Medicaid work requirement system. Now he’s warning other states, NPR, August 2025.
Medicaid Work Reporting Requirements: Verifying Compliance and Exemptions, State Health and Value Strategies, September 2025.
A Guide to Reducing Coverage Losses Through Effective Implementation of Medicaid’s New Work Requirement, Center for Budget and Policy Priorities, November 2025.
H.R. 1 Community Engagement Requirements: A Guide for State Advocates, Community Catalyst, December 2025.
Strategies for State Advocates to Mitigate the Harm from Work Requirements, Center for Budget and Policy Priorities, December 2025.
Engaging Medicaid Members and Community-Based Organizations in Medicaid Work Requirements Implementation, Center For Health Care Strategies, December 2025.
Medicaid Work Requirements and Due Process Q&A Series: Notices, National Health Law Program, January 2026.
A Technical Guide for States to Reduce Procedural Terminations from Medicaid’s Work Reporting Requirements, National Health Law Program, January 2026.
A Look at the Intersection of SNAP and Medicaid as States Implement Medicaid Work Requirements, KFF, March 2026.
What Advocates and Policymakers Can Do
Using Administrative Advocacy to Improve Access to Medicaid, SNAP, TANF, and WIC, Center on Budget and Policy Priorities, June 2025.
Supporting Young Children with Disabilities and their Families: Federal Policy Updates and Resources for State Advocates, Start Early and New America, September 2025.
State Actions to Protect Black Maternal Health, The Century Foundation, October 2025.
State Approaches to Implementation of HR1 Advocacy Strategies and Best Practices, Danielle Ewen, Elisabeth Burak, and Karen Chatfield, November 2025.
Innovating and Investing in Rural Health: How States Propose Spending the $50 Billion Rural Health Transformation Fund, State Health and Value Strategies, December 2025.
Tracking State Releases of Rural Health Transformation Program Applications, State Health and Value Strategies, December 2025.
The Medicaid Puzzle: Piecing Together Policies for a Balanced Budget, National Conference of State Legislatures, January 2026.
Medicaid Managed Care: Top Issues for Advocates in 2026, Families USA, January 2026.
General Overviews from National Organizations
How Cuts to Medicaid and SNAP Will Affect Children and Youth, Children’s Funding Project, July 2025.
Quick Reference on OBBBA Cuts: Medicaid Expansion vs. Non-Expansion States, National Health Law Program, July 2025.
Medicaid, CHIP, and Affordable Care Act Marketplace Cuts and Other Health Provisions in the Budget Reconciliation Law, Explained, Georgetown’s Center for Children and Families, July 2025.
Health Provisions in the 2025 Federal Budget Reconciliation Law and Implementation Dates, KFF, August 2025.
A Closer Look at the $50 Billion Rural Health Fund in the New Reconciliation Law, KFF, August 2025.
H.R.1: One Big Beautiful Bill Act: Big Changes and the Consequences for Babies and Families, ZERO TO THREE, August 2025.
Impact of Medicaid Cuts in H.R. 1 on Non-Expansion States, The Center for Law and Social Policy, December 2025.
Supplemental Nutrition Assistance Program (SNAP)
Flexibilities Available to States
Improving Family Economic Security Through Evidence-Based State Policy Reforms: TANF and SNAP flexibilities in 2024, National Center for Children in Poverty.
Implementing Work Requirements
A Guide to Reducing Coverage Losses Through Effective Implementation of Medicaid’s New Work Requirement, Center for Budget and Policy Priorities, November 2025.
A Look at the Intersection of SNAP and Medicaid as States Implement Medicaid Work Requirements, KFF, March 2026.
What Advocates and Policymakers Can Do
Using Administrative Advocacy to Improve Access to Medicaid, SNAP, TANF, and WIC, Center on Budget and Policy Priorities, June 2025.
12 Actions Advocates and States Should Take Now to Mitigate Harm of H.R. 1 SNAP Cuts, Food Research & Action Center, September 2025.
State Approaches to Implementation of HR1 Advocacy Strategies and Best Practices, Danielle Ewen, Elisabeth Burak, and Karen Chatfield, November 2025.
Colorado Democrats move to protect SNAP benefits and Planned Parenthood care, Colorado Public Radio, August 2025.
Governor signs special session emergency relief package – Four bills provide $162M to counter federal cuts, New Mexico Office of the Governor, October 2025.
Supporting State Economic Stability and Strength After OBBBA/H.R. 1 SNAP Cuts, Food Research & Action Center, January 2026.
General Overviews From National Organizations
The Far-Reaching Harmful Impacts of the Reconciliation Bill, Food Research and Action Center, July 2025.
Human Services Work Requirements Crosswalk, American Public Human Services Association, August 2025.
H.R.1: One Big Beautiful Bill Act: Big Changes and the Consequences for Babies and Families, ZERO TO THREE, August 2025.
Economic Strain and New SNAP Cost-Shifts Under H.R. 1 Across All States, Food Research & Action Center, February 2026.
Impact on State Budget
What Advocates and Policymakers Can Do
State and Local Revenue Options for Advancing a Brighter Future, Center on Budget and Policy Priorities, October 2024.
State Budget Shortfall Database, National Conference of State Legislatures, January 2026.
Immigration
General Overviews From National Organizations
Provisions on Immigrants’ Access to Public Benefits in the Final Reconciliation Package, Protecting Immigrant Families, July 2025.
Provisions of P.L. 119-21 Impacting Children, Youth, and Families, Youth Law Center, July 2025.
The Budget Reconciliation Act of 2025: Harms to Immigrant Children and Families, Children Thrive Action Network, July 2025.
Impact on Early Care and Education
General Overviews from National Organizations
The Cost of Cuts: What Families and Educators Will Lose in the Wake of the Budget Battle, National Association for the Education of Young Children, July 2025.
TOPLINES: Child Care in the 2025 Tax Reconciliation Package, First Five Years Fund, July 2025.
Cutting the Safety Net: What H.R. 1 Means for Early Educators’ Economic Security, Center for the Study of Child Care Employment, October 2025.
The Federal Choice Program Is Here. Will It Help Public School Students, Too? EdWeek, February 2026.
State-by-State Impact Data
Medicaid
Congressional District and State Data Sources on SNAP, Medicaid, and Child Tax Credit, Center on Budget and Policy Priorities, July 2025.
Allocating CBO’s Estimates of Federal Medicaid Spending Reductions Across the States: Enacted Reconciliation Package, KFF, July 2025.
Medicaid Cuts and the States: Tracking State-Specific Estimates of the Impacts of Proposed Changes, Princeton University’s State Health and Value Strategies, July 2025.
Medicaid Work Requirements Will Take Away Coverage From Millions: State and Congressional District Estimates,Center on Budget and Policy Priorities, July 2025.
Supplemental Nutrition Assistance Program (SNAP)
Congressional District and State Data Sources on SNAP, Medicaid, and Child Tax Credit, Center on Budget and Policy Priorities, July 2025.
How the Senate Budget Reconciliation SNAP Proposals Will Affect Families in Every US State, Urban Institute, July 2025.
State-by-State SNAP Fact Sheets, Food Research and Action Center, July 2025.
Annual State SNAP Benefit and Admin Cost Share, U.S. Department of Agriculture.
SNAP Payment Error Rates by Fiscal Year, Department of Agriculture.
Economic Strain and New SNAP Cost-Shifts Under H.R. 1 Across All States, Food Research & Action Center, February 2026.
Resources from National Organizations
Analysis of Tax Provisions in the Trump Megabill as Signed into Law: National and State Level Estimates, Institute on Taxation and Economic Policy, July 2025.
State Fact Sheets: How the Trump Administration and Congressional Republicans Are Increasing Costs for American Families, Center for American Progress, August 2025.
Children Left Behind by the H.R.1 “One Big Beautiful Bill Act” Child Tax Credit, Center on Poverty and Social Policy at Columbia University, August 2025.
HR 1/ OBBB Act Background
General Overviews from National Organizations
H.R. 1 Budget Reconciliation, 119th Congress, July 2025.
The One Big Beautiful Bill Act: Comprehensive Holland & Knight Analysis, Holland & Knight, July, 2025.
When Key Provisions in Trump’s “Big, Beautiful Bill” Take Effect, CNN, July, 2025.
Table of Contents
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