Excluding Illegal Aliens from Medicaid Act

This bill would speed up a planned change to Medicaid rules about noncitizen eligibility, moving the effective date from October 1, 2026 to July 4, 2025 . It also changes funding rules for states that expanded Medicaid and use any state funds to help provide health coverage to certain noncitizens. A state that, in a given quarter, pays for health insurance or comprehensive health coverage for people who are not “qualified” noncitizens (with an exception for certain lawfully residing children and pregnant women) would be treated as a “specified State” for that quarter under the expansion match rules . The bill updates these calculations to work quarter by quarter, rather than yearly .

In short, it moves up the start date for tighter Medicaid eligibility rules for noncitizens and ties federal Medicaid expansion funding to whether a state uses its own money to cover non‑qualified noncitizens in that quarter, with key terms defined by existing immigration law .

• Who is affected: Medicaid programs, states that expanded Medicaid, and certain noncitizens seeking coverage .
• What changes: Earlier start date for eligibility rules; quarterly-based funding rules for “specified States” that use state funds to cover non‑qualified noncitizens; references to “alien” and “qualified alien” follow existing federal definitions .
• When: Eligibility date change takes effect July 4, 2025; funding rules apply on a calendar‑quarter basis .