What This Bill Does · Plain English
Summary · Congress.gov
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 prohi
Action Timeline
2025-03-27
Referred to the House Committee on Energy and Commerce.
2025-03-27
Introduced in House
2025-03-27
Introduced in House
Frequently Asked Questions
Did HR.2445 pass?
HR.2445 is still alive. Current stage: COMMITTEE. Pass likelihood: 40%.
What does HR.2445 do?
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 Cente…
Who sponsored HR.2445?
HR.2445 was sponsored by Mike Kennedy (R-Utah).
Full Bill Text
119 HR 2445 IH: Ensuring Medicaid Eligibility Act of 2025 U.S. House of Representatives 2025-03-27 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. I 119th CONGRESS 1st Session H. R. 2445 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. 1. Short title This Act may be cited as the Ensuring Medicaid Eligibility Act of 2025 . 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. 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. . 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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