This bill would restrict federal Medicaid and CHIP (Children's Health Insurance Program) funding by prohibiting the federal government from paying for medical assistance provided to individuals who cannot verify U.S. citizenship, nationality, or lawful immigration status. The legislation makes verification of citizenship or immigration status a condition for federal reimbursement, though it gives states the option to continue providing temporary coverage during verification periods if they choose to do so. The bill applies immediately upon enactment and affects both undocumented immigrants and citizens whose status cannot be verified through existing Social Security data matching systems. While the bill doesn't eliminate state coverage options entirely, it removes federal financial support for care provided to unverified individuals, meaning states would have to fund such coverage entirely with state dollars. The changes apply to both the federal-state Medicaid program and the federally-funded CHIP program, which primarily serves lower-income children.
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