A 2024 federal rule made it easier for people to enroll in Medicaid and CHIP by streamlining the application process. This bill would block that rule entirely and add new restrictions: states would have to verify citizenship or immigration status before anyone can enroll, check eligibility at least every three months for income-based enrollees, and cut off Medicaid coverage for people with parole status, DACA recipients, asylum seekers, and those with temporary protected status. If you or a family member relies on Medicaid, these changes could mean more paperwork and more frequent reverification of your eligibility.
Average Household Impact
- Medicaid eligibility for parolees — Federal payment for medical assistance ended
- Medicaid eligibility for DACA recipients — Federal payment for medical assistance ended
- Medicaid eligibility for asylum recipients — Federal payment for medical assistance ended
- Medicaid eligibility for TPS holders — Federal payment for medical assistance ended
- Medicaid eligibility for withholding-of-removal recipients — Federal payment for medical assistance ended
- Medicaid re-verification frequency — Income-based enrollees rechecked at least quarterly
- Pre-enrollment verification burden — States must confirm citizenship or immigration status before any Medicaid enrollment
- HHS streamlining rule — 2024 rule simplifying Medicaid/CHIP enrollment blocked from implementation
Transparency & Accountability
- State eligibility-check cadence — Quarterly verification mandated for income-based Medicaid cases
Congressional Summary
This bill establishes additional requirements for state Medicaid programs with respect to verifying the eligibility of enrollees, particularly for noncitizens. It also prohibits federal Medicaid payment for services for certain noncitizens who are temporarily admitted into the United States.The bill prohibits implementation of the rule titled Medicaid Program; Streamlining the Medicaid, Children's Health Insurance Program, and Basic Health Program Application, Eligibility Determination, Enrollment, and Renewal Processes, which was issued by the Centers for Medicare & Medicaid Services on April 2, 2024.Specifically, the bill prohibits implementation of provisions that, among other changes, (1) allow state Medicaid programs to verify an individual’s U.S. citizenship and identity through certain systems without additional proof of identity; (2) align certain Medicaid enrollment processes for those whose eligibility is not based on income with those that are based on income; and (3) establish additional timelines for Medicaid eligibility terminations, including when there is a change in an individual’s circumstances.The bill also requires state Medicaid programs to (1) verify an individual's citizenship or immigration status prior to enrolling the individual in Medicaid; and (2) for individuals who qualify for Medicaid based on income, verify the individual's income on at least a quarterly basis while enrolled.Finally, the bill prohibits federal Medicaid payment for services provided to noncitizens granted parole, asylum, Temporary Protected Status, withholding of removal, or deferred action, including Deferred Action for Childhood Arrivals (DACA) recipients.
Details
- Congress
- 119th
- Chamber
- House
- Status
- summarized
- Action
- Introduced in House
- Action Date
- 2025-03-27
- Date Added
- 2026-04-15
- Source
- Congress.gov →
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