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This bill would stop the federal government from using a 2024 rule that was meant to make Medicaid, CHIP, and the Basic Health Program easier to apply for, enroll in, and renew. It would also add stricter eligibility checks, including requiring states to confirm a person’s citizenship or immigration status before enrollment and to recheck some income-based eligibility at least every three months. In addition, the bill would limit Medicaid payments for several groups of noncitizens, including people granted parole, deferred action, asylum, temporary protected status, or withholding of removal.
- Blocks the Health and Human Services Department from carrying out the 2024 “streamlining” rule for Medicaid, CHIP, and the Basic Health Program.
- Requires states to verify that a person is a U.S. citizen, national, or in an approved immigration status before enrolling them in Medicaid.
- Requires more frequent eligibility checks, at least once every three months, for some people whose Medicaid eligibility depends partly on income.
- Bars federal Medicaid payments for certain noncitizens, including people with parole, deferred action, asylum, temporary protected status, or withholding of removal.
Official Summaries
Ensuring Medicaid Eligibility Act of 2025
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.
Current Full Text
[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2445 Introduced in House (IH)]
<DOC>
119th CONGRESS
1st Session
H. R. 2445
To prohibit implementation of the rule entitled ``Medicaid Program;
Streamlining the Medicaid, Children's Health Insurance Program, and
Basic Health Program Application, Eligibility Determination,
Enrollment, and Renewal Processes'', and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
March 27, 2025
Mr. Kennedy of Utah introduced the following bill; which was referred
to the Committee on Energy and Commerce
_______________________________________________________________________
A BILL
To prohibit implementation of the rule entitled ``Medicaid Program;
Streamlining the Medicaid, Children's Health Insurance Program, and
Basic Health Program Application, Eligibility Determination,
Enrollment, and Renewal Processes'', and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Ensuring Medicaid Eligibility Act of
2025''.
SEC. 2. PROHIBITING IMPLEMENTATION OF MEDICAID STREAMLINING RULE.
The Secretary of Health and Human Services may not implement,
enforce, or otherwise give effect to the rule entitled ``Medicaid
Program; Streamlining the Medicaid, Children's Health Insurance
Program, and Basic Health Program Application, Eligibility
Determination, Enrollment, and Renewal Processes'' (89 Fed. Reg. 22780)
published on April 2, 2024.
SEC. 3. PROHIBITING ENROLLMENT IN THE MEDICAID PROGRAM PRIOR TO
VERIFICATION OF CITIZENSHIP OR SATISFACTORY IMMIGRATION
STATUS; ENSURING ELIGIBILITY.
Section 1902(a) of the Social Security Act (42 U.S.C. 1396a(a)) is
amended--
(1) in paragraph (86), by striking ``and'' at the end;
(2) in paragraph (87), by striking the period and inserting
a semicolon; and
(3) by inserting after paragraph (87) the following new
paragraphs:
``(88) provide that no individual is enrolled under such
plan (or under a waiver of such plan) prior to the date that
such State verifies that such individual is a citizen or
national of the United States or an individual in satisfactory
immigration status (as defined in section 1137(d)(1)); and
``(89) provide that, in the case of an individual enrolled
under such plan (or under a waiver of such plan) whose
eligibility is based in part by reference to the income of such
individual (as determined under subsection (e)(14)), the
eligibility of such individual is verified not less frequently
than quarterly.''.
SEC. 4. LIMITING MEDICAID COVERAGE OF PAROLEES AND TPS AND DACA
RECIPIENTS.
(a) In General.--Section 1903(v) of the Social Security Act (42
U.S.C. 1396b(v)) is amended--
(1) in paragraph (2), in the matter preceding subparagraph
(A), by inserting ``or (5)'' after ``paragraph (1)''; and
(2) by adding at the end the following new paragraph:
``(5) Notwithstanding sections 401(a), 402(b), and 403 of the
Personal Responsibility and Work Opportunity Reconciliation Act of 1996
and any other provision of this title, subject to paragraphs (2) and
(4), no payment may be made to a State under this section for medical
assistance furnished to an alien who is--
``(A) granted parole under section 212(d)(5) or
236(a)(2)(B) of the Immigration and Nationality Act;
``(B) granted deferred action or deferred enforced
departure, including pursuant to the memorandum of the
Department of Homeland Security entitled `Exercising
Prosecutorial Discretion with Respect to Individuals Who Came
to the United States as Children' issued on June 15, 2012;
``(C) granted asylum under section 208 of such Act;
``(D) granted temporary protected status under section 244
of such Act; or
``(E) granted withholding of removal under section
241(b)(3) of such Act.''.
(b) Conforming Amendment.--Section 1902(a) is amended, in matter at
the end, in the last sentence, by inserting ``or an alien described in
section 1903(v)(5)'' after ``color of law''.
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