Sponsors (11)
The bill reduces state Medicaid expenditures and clarifies eligibility rules by excluding certain non‑permanent or unlawfully present immigrants from coverage, at the cost of higher uninsured rates, increased strain on providers, administrative transition costs, and potential public‑health risks.
State governments will spend less on Medicaid because certain non‑permanent or unlawfully present immigrants will no longer be eligible for coverage under state-funded programs.
State Medicaid agencies and other officials get clearer federal eligibility rules for Medicaid, reducing uncertainty in implementation and eligibility verification processes.
Non‑permanent or unlawfully present immigrants will lose Medicaid coverage, increasing uninsured rates and reducing access to medical care for those individuals.
Immigrants may be deterred from seeking care (including communicable disease detection and treatment), creating broader public‑health risks for communities.
Hospitals and community health providers may face higher uncompensated care costs if patients lose Medicaid coverage, straining providers and local health systems.
Based on analysis of 2 sections of legislative text.
Bars States from providing Medicaid medical assistance to aliens not lawfully admitted for permanent residence or not permanently residing under color of law, with a narrow exception.
Introduced January 21, 2025 by Kevin Kiley · Last progress January 21, 2025
Prohibits States from providing Medicaid medical assistance to aliens who are not lawfully admitted for permanent residence or who are not permanently residing in the United States under color of law, with one narrow exception for assistance for which federal payment is available under 42 U.S.C. §1396b(v)(2) (formerly cited as 1903(v)(2)). The bill adds a new eligibility prohibition to the Medicaid statute and changes related punctuation in the statutory list of conditions for State plans. No new funding or implementation timeline is specified.