The Big Beautiful Bill: What HR 1 Really Means for Medicaid in 2026
HR 1 (a.k.a. “The One Big Beautiful Bill” ) introduces the most sweeping changes to Medicaid eligibility in over a decade. For health plans, employers, and benefit administrators, the change is operational: new work requirements, mandated verification systems, and the risk of large-scale coverage loss if states and payers are not ready.
Beginning in 2026, states must submit implementation plans, and by 2027, millions of Medicaid members will be subject to an 80-hour monthly work requirement verified at application and renewal. Past pilots show how quickly eligible people can lose coverage simply due to reporting barriers. HR 1 raises the stakes for plans, call centers, vendors, and state agencies.
This webinar will help you make sense of what’s changing, what’s required, and what must be built now to protect members and stabilize operations.
Join Demi Radeva (Akros Advisory) and Siran Cao (Mirza) for a practical, candid conversation designed for Medicaid MCO leaders, state partners, operational teams, and technology providers.
In this session, you will learn:
What HR 1 actually does (including new Medicaid and SNAP work requirements that apply to adults up to age 64)
When changes take effect and what states must submit by June 2026
Why verification is the core operational risk and how poor infrastructure leads to unnecessary disenrollment
What the 2018 Arkansas pilot teaches us about churn, reporting barriers, and system design
Which states are already flagged as high-risk for implementation challenges
How payers can prepare now, from data systems and interoperability to member communications and staffing
A real-world solution path, featuring Mirza’s employer-to-state verification bridge designed to minimize coverage loss and strengthen compliance
What to Expect
You’ll engage in guided discussion, assess your organization’s readiness across operational domains, and walk away with:
A readiness checklist for verification, data systems, staffing, and member experience
A clear 30-60-90-day action plan to move your organization toward compliance
HR 1 is a chance to modernize how work, verification, and coverage connect. Join us to get clarity, ask questions, and start preparing with confidence.