Increase Medicaid eligibility verification and redeterminations
Project 2025 calls for stronger Medicaid eligibility determinations. Public Law 119-21 and implementing CMS actions added community-engagement and related eligibility-administration requirements, but do not reproduce every listed verification proposal.
Project 2025 said
CMS should: a. Hold states accountable for improper eligibility determinations. b. Require more robust eligibility determinations. c. Strengthen asset test determinations within Medicaid.
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Compared with
Government did
Match: Partial Alignment
Public Law 119-21
The budget reconciliation law changed specified clean-energy tax provisions, Medicaid rules, and federal student-aid and repayment provisions, among many other subjects.
Section 71119
Medicaid community-engagement requirements
Section 71119 adds community-engagement requirements for certain Medicaid adults. States generally must implement beginning January 1, 2027, though the statute permits an earlier state-selected start.
Action type
Federal Statute
Identifier
Public Law 119-21
Current status
Effective Implementation Pending
In effect
No
Last verified
August 16, 2026
Why this match
The statute and CMS implementation tighten eligibility administration through community-engagement requirements but do not reproduce each Project 2025 verification and asset-test recommendation.
How this can change
Reversibility: Difficult
Congressional Repeal Or Amendment
Congress can amend or repeal Section 71119, followed by presidential signature or a veto override. CMS and states implement the statute; courts can review implementation and legal claims.
Authority: Congress · President · Agency · Courts · States
Legislative votes
Senate roll call 372
119th Congress · July 1, 2025 · Passed 51–50, with the Vice President voting yea
On Passage of H.R. 1, as amended
House roll call 190
119th Congress · July 3, 2025 · Passed 218–214
On motion that the House concur in the Senate amendment to H.R. 1
