The Impact of H.R. 1 on Two Medicaid Eligibility Rules
This issue brief examines how H.R. 1’s enactment delays implementation of two key Medicaid eligibility rules—one for Medicare Savings Programs (MSPs) and one for general Medicaid/CHIP enrollment and renewal—and the effects of that delay.
KFF explains that H.R. 1 imposes a ten-year moratorium on enforcement of provisions from the MSP rule (finalized September 2023) and the Eligibility & Enrollment (E&E) rule (finalized April 2024), both of which were designed to simplify enrollment, renewals, and transitions.
The brief details how delaying these changes will increase administrative burden, slow coverage take-up, and reduce eligibility access, while also estimating that the moratorium could save the federal government $122 billion over ten years and cause an additional 400,000 people to be uninsured in 2034. KFF also identifies which provisions are exempt from the delay, notes that states could voluntarily maintain the delayed changes, and highlights state-level variation in whether they have already adopted some of the new practices.
Share this Resource:
