Source: CWS
See here for a new unbranded resource for state policymakers that provides much, much more detail on what the Medicaid and CHIP eligibility changes will mean, who will be impacted, and why states should avoid rushing implementation of changes and risk improperly cutting off still-eligible recipients. The resource specifically calls on states to:
- Use their full implementation window to ensure affected beneficiaries are correctly identified and not improperly cut off.
- Ensure previously eligible refugees, asylees, victims of trafficking, and others are considered under alternatives like CHIPRA and FCEP to preserve coverage.
- Expand or establish state-funded coverage programs and the use of CHIP Health Services Initiatives (HSIs), CHIPRA, and FCEP to protect access to affordable healthcare for refugees who are impacted.
- Push for the expansion of Refugee Cash and Medical Assistance to 24 months (The Refugee Act authorizes up to 36 months, but RCA/RMA was most recently reduced to 4 months by the Trump administration in 2025).



