Ensuring Medicaid Eligibility Act of 2025

Stops a 2024 federal rule that would have simplified Medicaid, CHIP, and Basic Health Program applications and renewals. Tightens eligibility checks by requiring states to verify U.S. citizenship or satisfactory immigration status before enrollment and to recheck income-based eligibility every quarter.

Blocks federal Medicaid payments for care provided to certain noncitizen groups, including individuals granted parole, deferred action or deferred enforced departure, asylum, temporary protected status, or withholding of removal (subject to existing statutory exceptions). States would need to absorb costs with state-only funds or limit coverage for these groups.