The Trump administration directed state Medicaid programs to investigate certain enrolled individuals to verify their immigration status. Colorado and four other states have collectively received over 170,000 names for review. Experts call this move an “unprecedented” federal step entwining the Medicaid program in the president’s immigration enforcement efforts.
Advocates warn this directive increases the burden on states by requiring repeated verification checks. It may also result in Medicaid recipients losing coverage due to missed paperwork deadlines rather than actual ineligibility.
Mehmet Oz, administrator of the Centers for Medicare & Medicaid Services, stated on X (formerly Twitter) on October 31: “More than $1 billion of federal taxpayer dollars were being spent on funding Medicaid for illegal immigrants” in five states and Washington, D.C.
Medicaid spending overall exceeded $900 billion in fiscal year 2024. However, it remains unclear from Oz’s message and accompanying video over which exact period this $1 billion spending occurred. CMS spokespersons did not immediately answer questions before or after Oz's announcement.
This federal order illustrates the growing intersection between health programs and immigration policy, increasing administrative challenges for states.
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