Emma Sharp • December 19, 2025

National Council Releases H.R. 1 Implementation Journey Map

Author

Emma Sharp

Date

December 19, 2025

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The National Council for Mental Wellbeing has released a Journey Map for the implementation of H.R. 1 with clear, actionable information and guidance on upcoming policy changes, roles of key stakeholders, and opportunities for engagement. 

The guide takes a yearly approach to explain a summary of the year’s implementation dates and highlights key engagement opportunities for that year.


The Journey Map also outlines proactive practice considerations that providers can use to plan for upcoming changes to Medicaid policy, such as:

  • Look to plan education, outreach, and enrollee evaluation for other eligibility pathways, coverage, and benefits;
  • Addressing systems needed for proactive disability determination;
  • Look to identify key places to minimize administrative burden and maximize exemptions; and
  • Begin collecting data on impact to establish a baseline and evaluate as more changes come into effect.


The guide also alludes to an informational bulletin released by CMS on December 8, detailing rulemaking on the new community engagement requirements. RCPA will review the bulletin internally with policy leadership as well as with DHS on the impacts and implementation values.


If you have any questions, please contact RCPA Policy Associate Emma Sharp.

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