More cuts scheduled for after the midterm elections
By Alexander Castro, Rhode Island Current
Changes to Medicaid started on Thursday, Oct. 1, will affect eligibility for some noncitizens as well as coverage of GLP-1 drugs for weight loss for Rhode Islanders enrolled in the joint federal-state health insurance program for people with low incomes and older adults and people with disabilities.
Federal enrollment data from June show 250,294 Rhode Islanders were enrolled in Medicaid plus another 33,569 people covered through the related Children’s Health Insurance Program (CHIP).
Here are five Medicaid changes taking effect, or beginning to take effect for Oct. 1, the start of the federal fiscal year
New federal eligibility restrictions will affect fewer than 3,500 noncitizens
The sweeping federal tax and spending law H.R. 1 — signed by Donald Trump in July 2025 — is responsible for one big change coming to Rhode Island Medicaid this week.
H.R. 1 strikes several kinds of immigration statuses from the list of who can qualify for Medicaid. Asylees, refugees, parolees, or victims of human trafficking will no longer be eligible, unless they also have another immigration status which would make them eligible.
Undocumented immigrants were already ineligible for federally-funded Medicaid, barring emergency services.
The Congressional Budget Office estimates that the national cuts to Medicaid and CHIP coverage of noncitizens will lower federal spending by $6.2 billion and leave about 100,000 more people uninsured by 2034.
Those who will be able to remain on the Medicaid rolls include lawful permanent residents, also known as green card holders, who will remain eligible after the applicable five-year waiting period. Cuban and Haitian Entrants, a special kind of immigration category, and others from countries covered by the Compact of Free Association will also remain eligible.
Rhode Island coverage will additionally continue for lawfully residing children under 19 and pregnant and postpartum women.







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