Accelerates the exclusion of non-qualified aliens from Medicaid eligibility and reduces federal Medicaid matching funds to states that provide health coverage or financial assistance to such aliens, so less state spending on noncitizens and more federal pressure to limit benefits.
Section 1905 of the Social Security Act (42 U.S.C. 1396d) is amended-- (1) in subsection (y)-- (A) in paragraph (1)(E), by inserting ``(or, for calendar quarters beginning on or after July 4, 2025, in the case such State is a specified State with respect to such calendar quarter, the Federal medical assistance percentage determined under subsection (b) for such State)'' after ``thereafter'';
Accelerates the exclusion of non-qualified aliens from Medicaid eligibility and reduces federal Medicaid matching funds to states that provide health coverage or financial assistance to such aliens, so less state spending on noncitizens and more federal pressure to limit benefits.
To require immediate changes to Medicaid relating to alien eligibility and payments to Medicaid expansion States that furnish health care to certain aliens.
✓ Quote verified word for word in the bill text
Introduced (completed)
Committee
Passed one chamber
Passed both
President
Law
Stage: Committee · step 2 of 6
Last action
2025-07-10: Read twice and referred to the Committee on Finance.
Why the model tagged it this way: The bill accelerates the effective date for barring non-qualified aliens from Medicaid (Sec. 2) and penalizes states that use their own funds or provide coverage to non-qualified aliens by reducing their federal Medicaid matching rate (Sec. 3), thereby expanding the scope of federal limits on state benefits to unauthorized immigrants.