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HR8112119th CongressWALLET

Preserving Social Security and Medicare for Citizens Act of 2026

Sponsored By: Representative Mace, Nancy [R-SC-1]

Introduced

Summary

Limits Social Security and Medicare eligibility to U.S. citizens and lawful permanent residents. This bill would narrow Medicare eligibility under Section 1899C, bar monthly Social Security benefits for people who are neither citizens nor lawful permanent residents, and expand the FICA payroll tax base by repealing three exemptions in Internal Revenue Code Section 3121(b).

Show full summary
  • Seniors and benefit households: Noncitizens who are not lawful permanent residents would be ineligible for monthly Social Security title II benefits after the bill's effective date.
  • Medicare-eligible people: Eligibility tied to Section 1899C would be tightened, with a special transitional deeming rule for certain individuals who had prior entitlement or enrollment.
  • Workers and employers: More wages would be subject to FICA because three exemptions in IRC 3121(b) are repealed, applying to remuneration in taxable years that begin after December 31 of the calendar year of enactment.

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 1 benefits, 2 costs, 0 mixed.

New citizenship rule for Social Security

If enacted, the bill would bar monthly Social Security (Title II) benefits to anyone who is not a U.S. citizen or national and not a lawful permanent resident. This would apply to monthly benefit payments for months beginning after the law is enacted. If you receive Title II checks and are not a citizen, national, or lawful permanent resident, this bill would stop those payments.

More pay subject to payroll tax

If enacted, the bill would remove several exclusions from the Internal Revenue Code so more types of pay are subject to Social Security and Medicare payroll taxes. The change would apply to remuneration paid in taxable years beginning after December 31 of the calendar year in which this Act is enacted. Workers and employers who receive or pay the formerly excluded pay would see payroll tax apply to that pay.

Medicare enrollment date deeming change

If enacted, the bill would change how one Medicare rule (section 1899C(b)) treats some enrollees. It would rewrite parts of that section and deem people who have Part A or are enrolled in Part B on this section's enactment date as if they had that coverage earlier for that specific rule. The change is narrow and the excerpt does not give a separate effective date.

Sponsors & CoSponsors

Sponsor

Mace, Nancy [R-SC-1]

SC • R

Cosponsors

  • Rep. Burchett, Tim [R-TN-2]

    TN • R

    Sponsored 3/26/2026

  • Rep. Gill, Brandon [R-TX-26]

    TX • R

    Sponsored 6/8/2026

Roll Call Votes

No roll call votes available for this bill.

View on Congress.gov
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