{"id":252430,"date":"2025-10-31T14:06:11","date_gmt":"2025-10-31T14:06:11","guid":{"rendered":"https:\/\/www.newsbeep.com\/ca\/252430\/"},"modified":"2025-10-31T14:06:11","modified_gmt":"2025-10-31T14:06:11","slug":"trumps-hhs-orders-state-medicaid-programs-to-help-find-undocumented-immigrants","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/ca\/252430\/","title":{"rendered":"Trump\u2019s HHS orders state Medicaid programs to help find undocumented immigrants"},"content":{"rendered":"<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmhduakve008x26p4b0qw1cxq@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            The Trump administration has ordered states to investigate certain individuals enrolled in Medicaid to determine whether they are ineligible because of their immigration status, with five states reporting they\u2019ve received more than 170,000 names collectively \u2014 an \u201cunprecedented\u201d step by the federal government that ensnares the state-federal health program in the president\u2019s immigration crackdown.\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmhdubjj400063b6qxsdjc4bc@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            Advocates say the push burdens states with duplicative verification checks and could lead people to lose coverage just for missing paperwork deadlines.\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmhdubjj400073b6qvz1sanmn@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            Only U.S. citizens and some lawfully present immigrants are eligible for Medicaid, which covers low-income and disabled people, and the closely related Children\u2019s Health Insurance Program. Those without legal status are ineligible for federally funded health coverage, including Medicaid, Medicare, and plans through the Affordable Care Act marketplaces.\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmhdubjj400083b6qgijt344y@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            \u201cWe are tightening oversight of enrollment to safeguard taxpayer dollars and guarantee that these vital programs serve only those who are truly eligible under the law,\u201d Health and Human Services Secretary Robert F. Kennedy Jr. said in a <a href=\"https:\/\/www.hhs.gov\/press-room\/cms-medicaid-oversight-remove-ineligible-enrollees.html\" target=\"_blank\" rel=\"nofollow noopener\">press release<\/a> announcing the verification effort in August.\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmhdubjj400093b6q6rdg18sl@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            The release said all 50 states would receive names to check within a month.\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmhdubjj4000a3b6qr0jxcdol@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            To gauge the effort\u2019s progress, KFF Health News in October reached out to Medicaid agencies in 10 randomly selected states. Five provided the approximate number of names they had received from the Trump administration, with expectations of more to come: Colorado had been given about 45,000 names, Ohio 61,000, Pennsylvania 34,000, Texas 28,000, and Utah 8,000. More than 70 million people are enrolled in Medicaid.\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmhdubjj4000b3b6qpjdriz8k@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            Most of those states declined to comment further. The other five \u2014 California, Florida, Georgia, New York, and South Carolina \u2014 refused to say how many names they were ordered to review or did not respond.\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmhdubjj4000c3b6qvvev2wl2@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            In August, the Centers for Medicare &amp; Medicaid Services began sending states the names of people enrolled in Medicaid that the agency suspected might not be eligible, demanding state Medicaid agencies check their immigration status.\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmhdubjj4000d3b6qk49rjfyw@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            In recent days, Deputy Health and Human Services Secretary Jim O\u2019Neill <a href=\"https:\/\/x.com\/HHS_Jim\" target=\"_blank\" rel=\"nofollow\">began posting pictures<\/a> on the social platform X of people he said are convicted criminals living in the U.S. without authorization who had received Medicaid benefits.\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmhdubjj4000e3b6qqunzoxdv@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            O\u2019Neill could not be reached for comment. CMS spokespeople didn\u2019t respond to a request for comment or confirm how many names the agency has submitted to states.\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmhdubjj4000f3b6qficjab08@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            \u201cWe are very concerned because this seems, frankly, to be a waste of state resources and furthers the administration\u2019s anti-immigrant agenda,\u201d said Ben D\u2019Avanzo, senior health advocacy strategist with the National Immigration Law Center, an advocacy group. \u201cThis duplicates what states already do,\u201d he said.\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmhdubjj4000g3b6qpe4qcws5@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            As part of the administration\u2019s crackdown on people in the U.S. without authorization, President Donald Trump in February directed federal agencies to take action to ensure they are not obtaining benefits in violation of federal law.\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmhdubjj4000h3b6q0pzq94pt@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            In June, advisers to Kennedy ordered CMS to share information about Medicaid enrollees with the Department of Homeland Security, drawing a lawsuit by some states alarmed that the administration would use the information for its deportation campaign against unauthorized residents.\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmhdubjj4000i3b6q23ml6jed@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            In August, a federal judge ordered HHS to <a href=\"https:\/\/apnews.com\/article\/rfk-jr-medicaid-data-deportation-immigrants-trump-9a6ac84c6c23a608cfc5d343f6433c7f\" target=\"_blank\" rel=\"nofollow noopener\">stop sharing the information<\/a> with immigration authorities.\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmhdubjj4000j3b6q7xdftusk@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            State Medicaid agencies use databases maintained by the Social Security Administration and Department of Homeland Security to verify enrollees\u2019 immigration status.\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmhdubjj4000k3b6qdtzkimmd@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            If states need to go back to individuals to reverify their citizenship or immigration status, it could lead some to fall off the rolls unnecessarily \u2014 for example, if they don\u2019t see a letter requesting paperwork or fail to meet a deadline to respond.\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmhdubjj4000l3b6qkcmmoyun@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            \u201cI am not sure that evidence suggests there really is a need for this\u201d extra verification, said Marian Jarlenski, a health policy professor at the University of Pittsburgh School of Public Health.\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmhdubjj4000m3b6qli422ko7@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            In its August press release, CMS said it\u2019s asking states to verify eligibility for enrollees whose immigration status could not be confirmed via federal databases. \u201cWe expect states to take quick action and will monitor progress on a monthly basis,\u201d the agency said.\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmhdubjj4000n3b6q75f88320@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            Leonardo Cuello, a research professor at Georgetown University\u2019s Center for Children and Families, called the CMS order to states \u201cunprecedented\u201d in the Medicaid program\u2019s 60-year history.\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmhdubjj4000o3b6q5h9eejqe@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            He said the federal government may have been unable to verify certain individuals\u2019 immigration status because names were misspelled or outdated, such as when a beneficiary is identified by their maiden instead of married name. The names may also include people helped by Emergency Medicaid, a program that covers the cost of hospital emergency services, including labor and delivery, for people regardless of immigration status.\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmhdubjj4000p3b6qqtv1x0s5@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            \u201cCMS is conducting pointless immigration status reviews for people whose hospital bills were paid by Emergency Medicaid,\u201d Cuello said.\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmhdubjj4000q3b6qwjyrttx9@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            The verification checks create an added burden for state Medicaid agencies that are already busy preparing to implement the tax and policy law Trump signed in July. The measure, which Republicans call the One Big Beautiful Bill Act, makes many changes to Medicaid, including adding a work requirement in most states starting by 2027. The law also requires most states to more frequently check the eligibility of many adult Medicaid enrollees \u2014 at least twice a year.\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmhdubjj4000r3b6qd9ze1umr@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            \u201cI fear states may do unnecessary checks that create a burden for some enrollees who will lose health coverage who should not,\u201d Cuello said. \u201cIt\u2019s going to be a whole lot of work for CMS and states for very little pay dirt.\u201d\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmhdubjj4000s3b6qqcjgs1uu@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            Cuello said the effort may have \u201cgreater political value than actual value.\u201d\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmhdubjj4000t3b6qaiu2er13@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            Brandon Cwalina, a spokesperson for the Pennsylvania Department of Human Services, which runs Medicaid in the state, said the state already requires every Medicaid applicant to verify their citizenship or, where applicable, their eligible immigration status.\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmhdubjj4000u3b6qi961o3br@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            However, he said, the directive issued by CMS \u201cconstitutes a new process, and DHS is carefully reviewing the list in order to take appropriate actions.\u201d\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmhdubjj4000v3b6qb0g8088c@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            If a lawful resident does not have a Social Security number, the state confirms their legal status by checking a database from Homeland Security, as well as verifying specific immigration documents, he said.\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmhdubjj4000w3b6qpg68gg2j@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            Other state Medicaid agencies said they also needed to regroup before reaching out to enrollees.\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmhdubjj4000x3b6qyk45re4j@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            \u201cOur teams just received this notice and are working through a process by which we will perform these reviews,\u201d Jennifer Strohecker, then Utah\u2019s Medicaid director, told a state advisory board in August.\n    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmhdubjj4000y3b6q8t6m09ab@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">\n            Renuka Rayasam and Rae Ellen Bichell contributed reporting.\n    <\/p>\n","protected":false},"excerpt":{"rendered":"The Trump administration has ordered states to investigate certain individuals enrolled in Medicaid to determine whether they are&hellip;\n","protected":false},"author":2,"featured_media":252431,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[34],"tags":[49,48,84,392],"class_list":{"0":"post-252430","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-healthcare","8":"tag-ca","9":"tag-canada","10":"tag-health","11":"tag-healthcare"},"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/posts\/252430","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/comments?post=252430"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/posts\/252430\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/media\/252431"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/media?parent=252430"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/categories?post=252430"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/tags?post=252430"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}