Refugees, Asylum Seekers Lose Medicaid Eligibility Under H.R. 1
Starting October 1, refugees and asylum seekers nationwide are losing access to Medicaid due to eligibility restrictions enacted in H.R. 1, the Trump administration's budget law passed by congressional Republicans in summer 2025. The change removes a previously available coverage pathway for these immigrant populations, affecting their ability to access health services through Medicaid. States and Medicaid managed care plans must now determine how to handle enrollees who lose eligibility under the new rules. The cutoff is effective immediately as of October 1, 2026.
States and managed care plans must disenroll affected refugee and asylum-seeker populations and manage resulting coverage gaps, cost-shifting to safety-net providers, and compliance with the new federal eligibility restrictions.
Managed Care · Finance
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