# 119-hr-4384: Excluding Illegal Aliens from Medicaid Act

119-hr-4384, Excluding Illegal Aliens from Medicaid Act, is a 119th Congress bill sponsored by Rep. Steube, W. Gregory [R-FL-17] (R-FL); status introduced; PRIA reads it as touching household money (as of 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-hr-4384
- As of: 2026-04-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-4384
- Congress: 119
- Title: Excluding Illegal Aliens from Medicaid Act
- Status: introduced
- Introduced: 2025-07-14
- Sponsor: Rep. Steube, W. Gregory [R-FL-17] (R-FL)
- Cosponsors: 0
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-04-21

## 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. - 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.

## Provisions PRIA read

- Earlier start for immigrant Medicaid eligibility: benefit, high. 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: cost, low. 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 lawf…

## Related bills

- 119-hr-4669: FEMA Act of 2025
- 119-hr-2570: Maximum Pressure Act
- 119-hr-9109: Stop ANTIFA Act of 2026
- 119-hr-687: MERIT Act of 2025
- 119-hr-4206: CONNECT for Health Act of 2025
- 119-hr-9298: Stopping Harmful and Outrageous Torts Act

## Sources
- [119-hr-4384 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/4384)

## Related
- [119-hr-4669: FEMA Act of 2025](https://policyrisk.com/legislation/119-hr-4669)
- [119-hr-2570: Maximum Pressure Act](https://policyrisk.com/legislation/119-hr-2570)
- [119-hr-9109: Stop ANTIFA Act of 2026](https://policyrisk.com/legislation/119-hr-9109)
- [119-hr-687: MERIT Act of 2025](https://policyrisk.com/legislation/119-hr-687)
- [119-hr-4206: CONNECT for Health Act of 2025](https://policyrisk.com/legislation/119-hr-4206)
- [119-hr-9298: Stopping Harmful and Outrageous Torts Act](https://policyrisk.com/legislation/119-hr-9298)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-4384 (as of 2026-04-21).