# 119-s-523: Protect Medicaid Act

119-s-523, Protect Medicaid Act, is a 119th Congress bill sponsored by Sen. Cassidy, Bill [R-LA] (R-LA); status introduced; PRIA reads it as touching household money (as of 2025-12-21).

- Canonical: https://policyrisk.com/legislation/119-s-523
- As of: 2025-12-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-s-523
- Congress: 119
- Title: Protect Medicaid Act
- Status: introduced
- Introduced: 2025-02-11
- Sponsor: Sen. Cassidy, Bill [R-LA] (R-LA)
- Cosponsors: 3
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2025-12-21

## Summary

**Bars federal Medicaid funding for the administrative costs of state programs that provide health benefits to noncitizens who are ineligible for Medicaid because of their immigration status.** It would also require a Department of Health and Human Services inspector general report about how states run and finance those programs and how they separate those costs from Medicaid. - Families and noncitizens: State-run health-benefit programs that serve noncitizens who lack a satisfactory immigration status would not receive federal Medicaid funds for their administrative costs. - States and budgets: States would need to account for and exclude those administrative costs from Medicaid’s federal match. The bill preserves federal funding only for systems that are created or operated to ensure compliance with the prohibition. - Federal oversight: The HHS inspector general would have 180 days to report on how states separate administrative costs, the effectiveness of compliance systems, state financing methods including provider taxes and intergovernmental transfers, and whether drugs for these noncitizens are purchased under the Medicaid Drug Rebate Program or the 340B Drug Discount Program and the effect on average manufacturer price.

## Cosponsors (3)

- Sen. Barrasso, John [R-WY] (R-WY), 2025-02-11T00:00:00.000Z
- Sen. Wicker, Roger F. [R-MS] (R-MS), 2025-02-11T00:00:00.000Z
- Sen. Hyde-Smith, Cindy [R-MS] (R-MS), 2025-02-11T00:00:00.000Z

## Provisions PRIA read

- Ban federal Medicaid administrative funds for noncitizens: cost, low. If enacted, the bill would bar federal Medicaid (Title XIX) funds from paying administrative costs of State health programs that serve noncitizens who are ineligible for Medicaid because of their immigration status. The ban would not stop federal payment for costs to set up or operate systems that…

## Related bills

- 119-s-2296: National Defense Authorization Act for Fiscal Year 2026
- 119-s-4784: National Defense Authorization Act for Fiscal Year 2027
- 119-s-4744: Take Care of America’s Veterans Act
- 119-s-1748: Kids Online Safety Act
- 119-s-292: Educational Choice for Children Act of 2025
- 119-s-3752: SAVE America Act

## Sources
- [119-s-523 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/523)

## Related
- [119-s-2296: National Defense Authorization Act for Fiscal Year 2026](https://policyrisk.com/legislation/119-s-2296)
- [119-s-4784: National Defense Authorization Act for Fiscal Year 2027](https://policyrisk.com/legislation/119-s-4784)
- [119-s-4744: Take Care of America’s Veterans Act](https://policyrisk.com/legislation/119-s-4744)
- [119-s-1748: Kids Online Safety Act](https://policyrisk.com/legislation/119-s-1748)
- [119-s-292: Educational Choice for Children Act of 2025](https://policyrisk.com/legislation/119-s-292)
- [119-s-3752: SAVE America Act](https://policyrisk.com/legislation/119-s-3752)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-523 (as of 2025-12-21).