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Federal · 119th Congress

HR4384 Excluding Illegal Aliens from Medicaid Act

Direction

Immigration enforcement state federal cooperationAI label

Expands immigration enforcement model confidence 90%

Accelerates the exclusion of non-qualified aliens from Medicaid eligibility and reduces federal Medicaid matching funds to states that provide any health coverage or financial assistance for health insurance to such aliens, so less state spending on noncitizens and more federal pressure to limit non

provides any form of financial assistance from a State general fund during such quarter, in whole or in part, whether or not made under a State plan (or waiver of such plan) under this title or under another program established by the State, to or on behalf of an alien who is not a qualified alien

✓ Quote verified word for word in the bill text

  1. Introduced (completed)
  2. Committee
  3. Passed one chamber
  4. Passed both
  5. President
  6. Law

Stage: Committee · step 2 of 6

Last action
2025-07-14: Referred to the House Committee on Energy and Commerce.
Filed
2025-07-14
Committee
Energy and Commerce Committee
Sponsor
W. Gregory Steube R

Why the model tagged it this way: The bill accelerates (to July 4, 2025) the effective date of a prior law that bars non-qualified aliens from Medicaid eligibility, and it lowers the federal medical assistance percentage (to the regular FMAP) for any state that uses its own funds to provide health coverage or health-insurance assistance to non-qualified aliens who are not children or pregnant women lawfully present. Both changes expand the scope of immigration-related restrictions on state-provided health benefits and increase federal leverage against states that choose to cover such aliens.

Related bills

Sponsors

Text versions

History (3 actions)
DateChamberAction
2025-07-14LibraIntroduced in House
2025-07-14LibraIntroduced in House
2025-07-14HouseReferred to the House Committee on Energy and Commerce.