Disability advocacy organizations often have more potential influence than they realize. The challenge is knowing how to deploy it strategically. Here is the framework we use to help organizations move from reactive to proactive on Capitol Hill.

HR 1's new Medicaid community engagement requirements take effect January 1, and CMS must release an interim final rule by June 1. One key question still unanswered: how will education count toward the 80-hour monthly standard? We examine what the statute says — and what CMS still needs to clarify.

If you’re only lobbying Congress, you’re missing where policy is actually shaped. Inside the executive branch, influence happens quietly—and earlier than most think.

New Medicaid work requirements introduce critical questions around exemptions for medically frail individuals. With updated statutory language and pending federal guidance, the application of lookback periods may play a key role in determining who maintains coverage.

What determines whether a policy idea actually moves? It’s not just the idea — it’s whether policy, politics, and process align.