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119-hr-7453119th CongressWALLET

CLEAN Act

Sponsored By: Representative Steube, W. Gregory [R-FL-17]

Introduced

Summary

Would deny federal premium tax credits and allow states to refuse Medicaid to people listed as sex offenders. The bill uses the Adam Walsh Act definition of "sex offender" to limit two federal health supports for that group.

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  • Individuals and families: An individual identified as a sex offender, and that person's spouse on a joint tax return, would be ineligible for the premium tax credit that helps pay for Marketplace health insurance for taxable years ending after enactment. This removes a refundable tax benefit that reduces out‑of‑pocket premium costs.
  • Medicaid enrollees and states: States would get an explicit option to withhold Medicaid medical assistance from people who meet the Adam Walsh Act definition, even for people enrolled or reenrolled under a State plan or waiver on or after enactment. That option overrides some existing Medicaid eligibility protections and shifts a coverage decision to states.

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 0 benefits, 2 costs, 0 mixed.

Medicaid coverage limits for sex offenders

If enacted, federal Medicaid would not reimburse medical care provided to people who are sex offenders as defined in section 111 of the Adam Walsh Act. The bill would also let States elect not to provide Medicaid to those people, even if other Medicaid rules would normally require coverage. These changes would apply to people enrolled or reenrolled under a State plan or waiver on or after the date of enactment.

No marketplace tax credit for sex offenders

If enacted, you would not be able to claim the refundable premium tax credit if you are a sex offender. The denial would also apply if your spouse is a sex offender and you file a joint return. The rule would apply for taxable years ending after the date of enactment. Sex offender status is as defined in section 111 of the Adam Walsh Child Protection and Safety Act of 2006, and is measured as of the last day of the taxable year.

Sponsors & CoSponsors

Sponsor

Steube, W. Gregory [R-FL-17]

FL • R

Cosponsors

  • Rep. Maloy, Celeste [R-UT-2]

    UT • R

    Sponsored 9/28/2026

Roll Call Votes

No roll call votes available for this bill.

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