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FINAL REGULATIONS
Medicaid Program: Citizenship Documentation Requirements (PDF)

Issued by Centers for Medicare & Medicaid Services, U.S. Dept. of Health and Human Services, 72 FR 38662-97 (July 13, 2007).

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Reports on citizenship documentation requirements’ impact

• GEORGE WASHINGTON UNIV.  |  Assessing the Effects of Medicaid Documentation Requirements on Health Centers and Their Patients: Results of a "Second Wave" Survey (GWU School of Public Health & Health Services, Dept. of Health Policy, Oct. 21, 2008).

• GAO REPORT  |  Medicaid: States Reported That Citizenship Documentation Requirement Resulted in Enrollment Declines for Eligible Citizens and Posed Administrative Burdens (Govt. Accountability Office, GAO-07-889, June 2007).

• COMMITTEE STAFF REPORT  |  Medicaid Citizenship Documentation Requirements Deny Coverage to Citizens and Cost Taxpayers Millions (Majority Staff, Committee on Oversight and Government Reform, July 24, 2007).
  
  

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Statutory changes suggested by the American Public Human Services Association (APHSA) and the National Association of State Medical Directors (NASMD)

“...to provide states with the flexibility that they need to ensure that Medicaid services are provided to eligible individuals through cost-efficient methods”: “Medicaid Citizenship Documentation” (PDF) (4/07)

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CMS PRESS RELEASE
“All Low-Income Newborns to Receive Equal Access to Medicaid” (3/20/07, PDF)

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Access to Medicaid for Newborns of Immigrant Mothers (posted 12/6/06)

• California-specific version of above issue brief ("Access to Medicaid for Newborns of Immigrant Mothers") (PDF)
  
  

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NILC comments on CMS interim final rule re: “Medicaid Program: Citizenship Documentation Requirements” (8/11/06, PDF)

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CMS Attacks Rights of U.S. Citizen Newborns (PDF), issue brief and alert prepared by Maternal and Child Health Access and NILC

From the brief:  “[I]n the Preamble [to the interim regulations], CMS attempts to deny automatic eligibility [for Medicaid] to U.S. citizen newborns whose mothers were receiving Medicaid only for emergency labor and delivery services. . . .”

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Class action lawsuit filed on 6/28/06

It challenging the validity of the new federal law, passed as part of the 2005 Deficit Reduction Act, that requires about 50 million Medicaid recipients to prove they are U.S. citizens by presenting passports, birth certificates, or other special documents — or lose their coverage.  (Sargent Shriver National Center on Poverty Law, 6/28/06)

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New Federal Medicaid Document Requirement for U.S. Citizens Does Not Change the Rules for Noncitizens  (6/22/06, PDF)

• Immigrants Are Not Affected by the New Medi-Cal Law
  (California-specific informationL 6/22/06, PDF)
  
  

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FACT SHEETS published by the Health Consumer Alliance (California-specific information)

• The New Medi-Cal Law and Immigrants (6/06)

• New Medi-Cal Proof of Citizenship Requirements (6/06)
  
  

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FACT SHEETS authored by the National Council of La Raza (NCLR)

• New Medicaid Documentation Requirement for U.S. Citizens (6/06, PDF)

• Nuevo requisito de documentación para los ciudadanos de Estados Unidos que desean recibir Medicaid (6/06, PDF)
  
  

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POLICY UPDATE authored by the New York Immigration Coalition (NYIC)

• New Citizenship Documentation Requirement for Medicaid Has No Effect on Immigrants' Eligibility (6/12/06, PDF)