HR 2445
Ensuring Medicaid Eligibility Act of 2025
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Bill overview
This bill, the Ensuring Medicaid Eligibility Act of 2025, aims to restrict how states administer Medicaid, particularly regarding eligibility for noncitizens. It specifically prohibits the implementation of a recent rule designed to streamline Medicaid applications and enrollment processes, and it requires states to verify an individual’s citizenship or immigration status before enrolling them in Medicaid. Furthermore, the bill prevents federal Medicaid payments for healthcare services provided to noncitizens who have been granted certain immigration statuses, such as parole, asylum, or Deferred Action for Childhood Arrivals (DACA).
Key provisions
- Prohibits implementation of the ‘Medicaid Streamlining’ rule issued in 2024.
- Requires states to verify an individual’s citizenship or immigration status before Medicaid enrollment.
- Mandates quarterly income verification for Medicaid recipients whose eligibility is based on income.
- Prevents federal Medicaid payments for medical assistance to noncitizens with parole, asylum, temporary protected status, withholding of removal, or DACA status.
- Amends the Social Security Act to strengthen requirements for Medicaid eligibility verification.
- Addresses specific sections related to eligibility determination and enrollment processes.
- Clarifies the definition of ‘satisfactory immigration status’ for Medicaid purposes.
- Prohibits enrollment prior to citizenship/immigration status verification.
Who is affected
- State Medicaid programs
- Noncitizens
- Immigrants
- Healthcare providers
Sponsors
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Primary sponsor
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119th CONGRESS — 1st Session
H. R. 2445
IN THE HOUSE OF REPRESENTATIVES
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.
This Act may be cited as the Ensuring Medicaid Eligibility Act of 2025
.
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.
Section 1902(a) of the Social Security Act (42 U.S.C. 1396a(a)) is amended—
in paragraph (86), by striking and
at the end;
in paragraph (87), by striking the period and inserting a semicolon; and
by inserting after paragraph (87) the following new paragraphs:
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.
in paragraph (2), in the matter preceding subparagraph (A), by inserting or (5)
after paragraph (1)
; and
by adding at the end the following new paragraph:
or an alien described in section 1903(v)(5)after
color of law.