CMS Publishes State Implementation Tool for Section 71109 Medicaid Eligibility Changes The Centers for Medicare & Medicaid Services (CMS) released an implementation tool to help states comply with section 71109 of H.R.1, which restricts federal Medicaid and CHIP funding for certain non-citizens beginning October 1, 2026. The guidance outlines the operational, eligibility, and financial system changes states must complete implementing… (Marceno, August 5, 2026) #Cost-Sharing, #Immigration, #Program Integrity