Requires States to check death records regularly and remove deceased people from Medicaid/CHIP rolls. Starting January 1, 2027, States must review the Social Security Death Master File at least quarterly (or other electronic sources that meet requirements), disenroll people who appear deceased, stop future payments to them, and promptly restore coverage retroactively if a death was recorded in error.

Aims to reduce improper payments and keep program rolls accurate, while requiring States to follow Medicaid eligibility rules and to reinstate benefits quickly when mistakes occur. States may need new processes or systems to do these checks and manage corrections.