With Express Lane Eligibility (ELE), a state’s Medicaid and CHIP programs can rely on another agency’s eligibility findings to qualify children for health coverage. This report examines the ELE program in Alabama, which builds new linkages between Medicaid and two other public benefits programs—the Supplemental Nutrition Assistance Program (SNAP) and Temporary Assistance for Needy Families (TANF). The state implemented ELE using a phased-in approach to build strong support over time for the new policy. Thus far, the ELE processes, (which include automatic renewal, among others) have resulted in significant administrative savings through increased efficiency, and have improved the processes of applying for and maintaining Medicaid coverage.