HB564 Alabama 2025 Session

Summary

Primary Sponsor

Arnold MooneyRepresentative

Republican

Session

2025 Regular Session

Title

Public assistance, regular cross-checks required for Medicaid and food assistance eligibility

Summary

HB564 would require regular, data-driven checks to verify Medicaid and SNAP eligibility, limit self-attestation, publish fraud data, and establish rules to implement these changes.

What This Bill Does

It would prohibit the Medicaid Agency from accepting self-attestations or some eligibility determinations without verification, except where federal law requires. The Medicaid Agency would enter data matching agreements with state agencies (Department of Public Health, Department of Human Resources, and Department of Corrections) to cross-check Medicaid eligibility against income, employment, assets, and other information. The Department of Human Resources would enter data matching agreements with state agencies (including Department of Public Health, Department of Corrections, Department of Workforce, and Department of Revenue) to cross-check SNAP eligibility against similar data. The agencies would regularly review federal data sources (monthly for certain data and quarterly for others) to determine continued eligibility and take action if changes are found. The agencies would publish aggregate data on fraud and noncompliance on their public website and would adopt rules to implement these provisions, with an effective date of October 1, 2025.

Who It Affects

• Medicaid recipients and applicants would face increased verification of income, residency, age, household composition, and related information before enrollment, and potential eligibility changes based on data reviews.
• SNAP recipients and applicants would face similar verification and ongoing eligibility checks, with updates based on cross-checked data.

Key Provisions

• Medicaid eligibility: the agency may not accept self-attestation of income, residency, age, household composition, caretaker/relative status, or receipt of other coverage without verification prior to enrollment, and may not waive periodic checks of income-related data sources unless required by federal law.
• Medicaid data sharing: the agency must enter data matching agreements with the Department of Public Health, Department of Human Resources, and Department of Corrections to cross-check Medicaid eligibility with state data on income, employment, assets, and other information.
• SNAP data sharing: the Department of Human Resources must enter data matching agreements with state agencies (including Public Health, Department of Corrections, Department of Workforce, and Department of Revenue) to cross-check SNAP eligibility with state data on income, employment, assets, and other information.
• Federal data reviews: the agency must conduct monthly reviews of certain federal data (e.g., SSA earnings and death data, incarceration, SSI, beneficiary records, NDNH data, child support, HUD data, FBI felon data) to assess continued eligibility and act on changes.
• Public fraud/noncompliance data: the agencies must publish aggregate data on noncompliance and fraud investigations on their public websites, excluding confidential or identifying information.
• Rules and effective date: the agencies must adopt rules to implement and administer these provisions, with the act becoming effective October 1, 2025.

AI-generated summary using openai/gpt-5-nano on Feb 22, 2026. May contain errors — refer to the official bill text for accuracy.

Subjects

Health