Ensuring Medicaid Eligibility Act of 2025

This bill would tighten who can get Medicaid and how people are checked for eligibility. It would stop a 2024 federal rule that aimed to make it easier to apply for and renew Medicaid, CHIP, and the Basic Health Program, blocking the agency from putting that rule into effect (the rule was published April 2, 2024). It would also require states to verify a person’s citizenship or qualifying immigration status before enrolling them, and for people whose eligibility depends on income, it would require income checks at least every three months. In addition, it would bar federal Medicaid payments for care provided to people with certain immigration statuses, including those on humanitarian parole, people with DACA, people granted asylum, people with Temporary Protected Status (TPS), and people with withholding of removal.

Key points:

• Who is affected: People applying for Medicaid; current enrollees whose income affects eligibility; certain immigrants; and state Medicaid programs .
• What changes: Blocks the 2024 “streamlining” rule; requires status checks before enrollment; adds quarterly income checks; and stops federal Medicaid payments for care for people with the listed immigration statuses .
• When: It specifically targets a federal rule issued on April 2, 2024.