HR584119th CongressWALLET

No Medicaid for Illegal Immigrants Act of 2025

Sponsored By: Representative Kiley (CA)

Introduced

Summary

Ban on Medicaid for unlawfully present immigrants. This bill would prohibit state Medicaid plans and plan waivers from providing medical assistance to individuals who are not lawfully admitted for permanent residence or not permanently residing in the United States under color of law, except for emergency services payable under current law (Section 1903(v)(2)).

Show full summary
  • Families and nonlawful immigrants: Individuals not lawfully admitted or not permanently residing under color of law would be excluded from Medicaid medical assistance, with only emergency-service payments preserved under Section 1903(v)(2).
  • State programs: States could not use their Medicaid plans or waivers to cover this group, and the bill overrides possible exceptions in Section 1903(v)(4).
  • Lawfully present people and citizens: Coverage for U.S. citizens and immigrants who are lawfully present would not change.

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 0 benefits, 1 costs, 0 mixed.

End Medicaid for most undocumented immigrants

If enacted, states would be barred from giving Medicaid to people who are not lawful permanent residents and not "permanently residing under color of law." The ban would apply to state Medicaid plans and to waivers. Emergency treatment would still be payable under the existing emergency Medicaid rule (section 1903(v)(2)). It would override a conflicting rule in section 1903(v)(4). It would not change coverage for U.S. citizens or people who are lawfully present.

Sponsors & CoSponsors

Sponsor

Kiley (CA)

CA • R

Cosponsors

  • Van Orden

    WI • R

    Sponsored 1/23/2025

  • Hamadeh (AZ)

    AZ • R

    Sponsored 1/31/2025

  • Issa

    CA • R

    Sponsored 3/3/2025

  • Van Drew

    NJ • R

    Sponsored 3/18/2025

  • McCaul

    TX • R

    Sponsored 3/18/2025

  • Bost

    IL • R

    Sponsored 3/25/2025

  • Brecheen

    OK • R

    Sponsored 3/25/2025

  • Cline

    VA • R

    Sponsored 4/1/2025

  • Fedorchak

    ND • R

    Sponsored 5/29/2025

Roll Call Votes

No roll call votes available for this bill.

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