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Prohibition on Termination of Enrollment Due to Incarceration (Division G, Title I, Section 205, of the Consolidated Appropriations Act, 2024

The purpose of this Center for Medicaid and CHIP Services (CMCS) Informational Bulletin (CIB) is to highlight statutory changes that impact Medicaid and CHIP eligibility requirements for individuals who are inmates of public institutions. Division G, title I, Section 205, of the Consolidated Appropriations Act, 2024 (Pub. L. 118-42) (CAA, 2024),0F1 signed into law on March 9, 2024, amended sections 1902(a)(84)(A) and 2102(d)(1)(A) of the Social Security Act (the Act) to expand the populations for which states are prohibited from terminating Medicaidand CHIP eligibility to all individuals who are inmates of a public institution.

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Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: December 23, 2025

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.