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119-hr-7817119th CongressWALLET

No Federal Tax Dollars for Illegal Aliens Health Insurance Act of 2026

Sponsored By: Representative Boebert, Lauren [R-CO-4]

Introduced

Summary

Restrict federal health insurance funds to U.S. citizens and lawfully present immigrants. This bill would change the Affordable Care Act's section 1332 waiver rules so pass-through federal payments cannot be used to offset premiums, cost-sharing, or any other benefit for people who are not citizens, nationals, or lawfully present.

Show full summary
  • Noncitizen individuals not lawfully present would be barred from receiving benefits paid with federal pass-through funds, including premium or cost-sharing reductions.
  • States that rely on section 1332 waivers would no longer be able to use federal pass-through funds to subsidize coverage for unauthorized immigrants. The Secretary of Health and Human Services would be required to rescind any previously approved waiver within 30 days after enactment that would not meet the new rule.
  • Federal funding rules would be narrowed so pass-through payments can be used only for citizens or aliens lawfully present, changing how some state waiver dollars could be spent.

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Bill Overview

Analyzed Economic Effects

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

Ban federal marketplace help for noncitizens

If enacted, the bill would stop states from using federal 1332 pass-through funds to pay premiums, cost-sharing reductions, or other benefits for people who are not U.S. citizens, nationals, or lawfully present. It would also remove the requirement in section 1312(f)(3) from HHS’s rules for approving state 1332 waivers, which could change which waiver designs are allowed. The bill would require HHS to rescind, within 30 days after enactment, any existing 1332 waivers approved before enactment that would not have been approved under these new rules.

Sponsors & CoSponsors

Sponsor

Boebert, Lauren [R-CO-4]

CO • R

Cosponsors

  • Rep. Hurd, Jeff [R-CO-3]

    CO • R

    Sponsored 3/5/2026

  • Rep. Crank, Jeff [R-CO-5]

    CO • R

    Sponsored 3/5/2026

  • Rep. Evans, Gabe [R-CO-8]

    CO • R

    Sponsored 3/5/2026

  • Rep. Donalds, Byron [R-FL-19]

    FL • R

    Sponsored 3/5/2026

  • Rep. Luna, Anna Paulina [R-FL-13]

    FL • R

    Sponsored 3/5/2026

  • Rep. Nehls, Troy E. [R-TX-22]

    TX • R

    Sponsored 3/5/2026

  • Rep. Gosar, Paul A. [R-AZ-9]

    AZ • R

    Sponsored 3/5/2026

  • Rep. Kennedy, Mike [R-UT-3]

    UT • R

    Sponsored 3/5/2026

  • Rep. Van Drew, Jefferson [R-NJ-2]

    NJ • R

    Sponsored 3/5/2026

  • Rep. Perry, Scott [R-PA-10]

    PA • R

    Sponsored 3/5/2026

  • Rep. Clyde, Andrew S. [R-GA-9]

    GA • R

    Sponsored 3/5/2026

  • Rep. Self, Keith [R-TX-3]

    TX • R

    Sponsored 3/9/2026

  • Rep. Harris, Andy [R-MD-1]

    MD • R

    Sponsored 3/9/2026

  • Rep. Burchett, Tim [R-TN-2]

    TN • R

    Sponsored 3/17/2026

  • Rep. Harris, Mark [R-NC-8]

    NC • R

    Sponsored 6/3/2026

Roll Call Votes

No roll call votes available for this bill.

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