This bill, known as the "Ensuring Medicaid Eligibility Act of 2025," aims to tighten Medicaid eligibility and enrollment processes. It specifically **prohibits the implementation of a federal rule** that would have streamlined application, eligibility determination, enrollment, and renewal procedures for Medicaid, CHIP, and the Basic Health Program. The legislation introduces new requirements for states, mandating **pre-enrollment verification of U.S. citizenship or satisfactory immigration status** for all individuals. Furthermore, it requires that eligibility for income-based Medicaid recipients be **verified at least quarterly**, ensuring more frequent checks on financial qualifications. A key provision of the bill also **restricts Medicaid coverage for several categories of non-citizens**. It prohibits federal payments to states for medical assistance provided to individuals granted parole, deferred action (including DACA recipients), asylum, temporary protected status (TPS), or withholding of removal, thereby excluding these groups from Medicaid benefits.