H.R. 2445

119th CONGRESS 1st Session

To prohibit implementation of the rule entitled , and for other purposes.

IN THE HOUSE OF REPRESENTATIVES · March 27, 2025 · Sponsor: Mr. Kennedy of Utah · Committee: Committee on Energy and Commerce

Table of contents

• H.R. 2445
  • SEC. 1. Short title
  • SEC. 2. Prohibiting implementation of Medicaid streamlining rule
  • SEC. 3. Prohibiting enrollment in the Medicaid program prior to verification of citizenship or satisfactory immigration status; ensuring eligibility
  • SEC. 4. Limiting Medicaid coverage of parolees and TPS and DACA recipients

SEC. 1. Short title

• This Act may be cited as the Ensuring Medicaid Eligibility Act of 2025.

SEC. 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 (89 Fed. Reg. 22780) published on April 2, 2024. Medicaid Program; Streamlining the Medicaid, Children's Health Insurance Program, and Basic Health Program Application, Eligibility Determination, Enrollment, and Renewal Processes

SEC. 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 () is amended— 42 U.S.C. 1396a(a)
  • in paragraph (86), by striking and at the end;
  • in paragraph (87), by striking the period and inserting a semicolon; and
    • 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
    • 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.
  • by inserting after paragraph (87) the following new paragraphs:

SEC. 4. Limiting Medicaid coverage of parolees and TPS and DACA recipients

• (a) In general
  • Section 1903(v) of the Social Security Act () is amended— 42 U.S.C. 1396b(v)
    • in paragraph (2), in the matter preceding subparagraph (A), by inserting after ; and
      • 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—
        • granted parole under section 212(d)(5) or 236(a)(2)(B) of the Immigration and Nationality Act;
        • 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;
        • granted asylum under section 208 of such Act;
        • granted temporary protected status under section 244 of such Act; or
        • granted withholding of removal under section 241(b)(3) of such Act.
    • by adding at the end the following new paragraph:
• (b) Conforming amendment
  • Section 1902(a) is amended, in matter at the end, in the last sentence, by inserting after .