Excluding Illegal Aliens from Medicaid Act
Sponsored By: Representative Steube
Introduced
Summary
Would speed up Medicaid eligibility changes for certain nonqualified aliens and tie federal matching to state decisions about covering them. The bill would change when those alien eligibility rules take effect and would create a quarter-by-quarter Federal Medical Assistance Percentage rule for states that pay for or provide coverage to those aliens.
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- States: Would qualify as a "Specified state" for a calendar quarter beginning on or after July 4, 2025 if they use state general funds to help pay for health coverage for nonqualified aliens or if they provide comprehensive health benefits to those aliens. A state's regular FMAP under section 1905(b) would be used for this expanded matching on a quarterly basis.
- Nonqualified immigrants: Would move the effective date for certain changes to alien Medicaid eligibility from October 1, 2026 to July 4, 2025, applying those eligibility changes as if they were included in Public Law 119-21.
- Lawfully residing children and pregnant women: The FMAP expansion targets aliens who are not qualified aliens and who are not children or pregnant women lawfully residing and eligible for assistance, so lawfully residing children and pregnant women are not the focus of the new FMAP rule.
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Bill Overview
Analyzed Economic Effects
2 provisions identified: 1 benefits, 1 costs, 0 mixed.
Earlier start for immigrant Medicaid eligibility
If enacted, a Medicaid rule for some immigrants would start sooner. The date would move to July 4, 2025, instead of October 1, 2026. It would be treated as if included in Public Law 119-21. If you are covered by that rule, you could qualify for Medicaid earlier.
Lower federal match if states cover non-qualified immigrants
Starting with calendar quarters on or after July 4, 2025, states could get a lower federal Medicaid match in some cases. This would apply in a quarter when a state uses its own funds or offers comprehensive coverage to immigrants who are not "qualified" under federal law. It would not apply to lawfully residing children or pregnant women already allowed under federal rules. The check would happen every quarter, which could lead some states to limit coverage or spend more state money.
Sponsors & CoSponsors
Sponsor
Steube
FL • R
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
No roll call votes available for this bill.
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