Will all immigrants lose federally funded Medicaid beginning October 1, 2026?

Beginning October 1, 2026, the 2025 reconciliation law narrows, but does not eliminate, immigrants’ eligibility for federally funded Medicaid and CHIP. This change affects certain lawfully present immigrants, since undocumented immigrants were already ineligible for federal non-emergency Medicaid (EconoFact).

From this provision, federal funding for full benefits will now be generally limited to U.S. citizens and nationals, lawful permanent residents, Cuban and Haitian entrants, and people residing in the United States under Compacts of Free Association. Based on status, certain groups that were previously eligible, including refugees, asylees, and parolees, may lose federally funded full Medicaid. States, however, can continue federally funded coverage for lawfully residing children and pregnant people under the CHIPRA 214 option, which extends to refugees. Additionally, emergency Medicaid remains available to otherwise eligible noncitizens (Center for Medicare & Medicaid Services).