University of California, San Francisco

H.R. 1 has significantly reshaped the operating environment for health and human services agencies, increasing both oversight and administrative demands across programs like SNAP and Medicaid. The legislation raises the stakes by tightening expectations around payment accuracy — placing SNAP agencies at risk of financial penalties if error rates exceed 6% by 2028 — while also expanding eligibility verification requirements, such as requiring certain Medicaid recipients to undergo recertification twice a year instead of annually.

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