I 
119TH CONGRESS 
1ST SESSION H. R. 2445 
To prohibit implementation of the rule entitled ‘‘Medicaid Program; Stream-
lining the Medicaid, Children’s Health Insurance Program, and Basic 
Health Program Application, Eligibility Determination, Enrollment, and 
Renewal Processes’’, and for other purposes. 
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 Applica-
tion, Eligibility Determination, Enrollment, and Renewal 
Processes’’, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Ensuring Medicaid Eli-
gibility Act of 2025’’. 
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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 ‘‘Medicaid Program; Streamlining the Medicaid, 
Children’s Health Insurance Program, and Basic Health 
Program Application, Eligibility Determination, Enroll-
ment, and Renewal Processes’’ (89 Fed. Reg. 22780) pub-
lished on April 2, 2024. 
SEC. 3. PROHIBITING ENROLLMENT IN THE MEDICAID PRO-
GRAM PRIOR TO VERIFICATION OF CITIZEN-
SHIP OR SATISFACTORY IMMIGRATION STA-
TUS; 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 fol-
lowing 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 
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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 indi-
vidual is verified not less frequently than quar-
terly.’’. 
SEC. 4. LIMITING MEDICAID COVERAGE OF PAROLEES AND 
TPS AND DACA RECIPIENTS. 
(a) IN GENERAL.—Section 1903(v) of the Social Se-
curity Act (42 U.S.C. 1396b(v)) is amended— 
(1) in paragraph (2), in the matter preceding 
subparagraph (A), by inserting ‘‘or (5)’’ after ‘‘para-
graph (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 assist-
ance furnished to an alien who is— 
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‘‘(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 en-
forced departure, including pursuant to the memo-
randum 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 sec-
tion 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’’. 
Æ 
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