Ensuring Medicaid Eligibility Act of 2025
Sponsored By: Representative Kennedy (UT)
Introduced
Summary
Restricting Medicaid eligibility and federal payments for certain noncitizens. This bill would prohibit HHS from enforcing a 2024 rule that streamlined Medicaid, CHIP, and Basic Health Program applications and would add new citizenship, immigration, and income re-verification requirements for enrollment and renewals.
Show full summary
- Families and beneficiaries would face new verification rules: states must confirm an applicant is a U.S. citizen, national, or in a defined satisfactory immigration status before enrollment, and income-based eligibility must be re-verified at least quarterly.
- Noncitizens in specific categories would trigger denial of federal Medicaid payments: parole under INA 212(d)(5) or 236(a)(2)(B), deferred action or deferred enforced departure, asylum, temporary protected status, and withholding of removal.
- Program and state effects: the bill inserts these requirements into the Social Security Act and blocks the HHS streamlining rule, changing how enrollment, eligibility checks, and renewals operate for Medicaid and related programs.
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Bill Overview
Analyzed Economic Effects
2 provisions identified: 0 benefits, 2 costs, 0 mixed.
Federal Medicaid payments barred for some immigrants
If enacted, the federal government would not pay Medicaid for care to people with certain immigration statuses. This includes parole, deferred action or deferred enforced departure (including the June 15, 2012 DACA memo), asylum, temporary protected status, and withholding of removal. States could still choose to fund care themselves, but federal Medicaid money would be barred. This would start upon enactment.
Stricter Medicaid checks and streamlining blocked
If enacted, states would have to verify citizenship or immigration status before enrolling someone in Medicaid. If your Medicaid depends on income, the state would check your income at least every three months. The bill would also block HHS from using the April 2, 2024 streamlining rule for Medicaid, CHIP, and the Basic Health Program. This would keep current procedures and add more frequent checks. Changes would take effect upon enactment.
Sponsors & CoSponsors
Sponsor
Kennedy (UT)
UT • R
Cosponsors
Knott
NC • R
Sponsored 4/10/2025
Roll Call Votes
No roll call votes available for this bill.
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