Overview

October 27
10AM PT, 1PM ET

Register

H.R. 1 is rewriting the operating model for state and county health and human services agencies. Starting January 1, 2027, Medicaid expansion adults must renew coverage every six months and show 80 hours a month of work or other qualifying activity. SNAP agencies now pay 75% of administrative costs, and beginning in FY2028, states with payment error rates of 6% or higher will pay a share of benefit costs for the first time.

That means more notices, more verifications and more calls, with less federal money to handle them. Agencies can't hire their way out, and residents who miss a single letter can lose coverage they still qualify for.

In this 30-minute lightning Q&A, a Twilio public sector expert will explain what H.R. 1 means for everyday agency operations and how HHS agencies are using automated, omnichannel communications to keep pace.

Join us to learn:

  • How two-way text, voice and email can reach residents where they are
  • How AI-powered self-service can absorb routine calls so caseworkers can focus on complex cases
  • How smarter verification supports program integrity without locking out eligible families.
  • How funding streams such as the Rural Health Transformation Program and Medicaid Enterprise Systems matching funds can help pay for modernization.

Whether you lead eligibility, operations, IT or program integrity, you'll leave with a practical starting point for the work ahead of the January 2027 deadlines.

Attend the live webinar to obtain your complimentary certificate of attendance!

Speakers

Michelle Desien headshot

Michelle Desien

Senior Sales Productivity Manager, Twilio

Michelle Desien has spent the last 6 years at Twilio helping customers best implement tools and manage Messaging Compliance. With a finger on the pulse of what impacts Twilio customers, she is our in-house expert on how agencies can navigate HR 1 changes and keep residents covered. She is based out of Denver and enjoys a good murder mystery when she isn’t crocheting for friends and family.

Sean McSpaden headshot

Sean McSpaden — Moderator

Senior Fellow, Center for Digital Government

Sean McSpaden is an executive level information technology professional with over 30 years of experience in the private, non-profit, and public sectors. His background includes the start-up and management of several small businesses and he has served on the Board of Directors or in Executive Director positions for several 501(c)(3) non-profit organizations. Sean’s public service experience includes progressively responsible positions as an IT analyst, and in statewide coordination, management and leadership positions within the Executive and Legislative branches of Oregon state government.

From June 2008 to September 2013, Sean served as the state of Oregon’s Deputy State Chief Information Officer. Since 2013, Sean has served as a Principal Legislative IT Analyst with the Oregon Legislative Fiscal Office and as the Committee Administrator for Oregon’s Joint Legislative Committee on Information Management and Technology. In addition, Sean serves as a member Oregon’s Task Force on Artificial Intelligence and as Oregon’s representative to the National Conference of State Legislatures (NCSL) Taskforce on Artificial Intelligence, Cybersecurity and Privacy.

Throughout his 26-year tenure in Oregon state government, Sean and the teams he has led have received several state, regional and national recognitions and awards. In addition, Sean has represented the state of Oregon on numerous state, regional and national project steering committees, task forces, governing boards, committees, commissions and associations, and has presented on various topics at local, state, regional, national, and international meetings and conferences.

Sean earned his Master of Business Administration (MBA) degree and Certificate of Public Management from the Willamette University, Atkinson Graduate School of Management. Sean is an ISACA Certified Information Security Manager (CISM) and holds a PMI Project Management Professional (PMP) certification.

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