As federal policy shifts reshape core safety net programs like Medicaid and SNAP, the operational burden is increasingly falling on state and local agencies. This guide is designed for public sector leaders responsible for maintaining access to critical services amid shifting policy and budget constraints. It offers specific strategies to reduce program overlap, streamline internal operations, and foster cross-agency coordination—without increasing headcount or cost. For agencies balancing limited capacity with rising expectations, this is a practical roadmap for making service delivery more resilient, efficient, and aligned.
