HR 584
No Medicaid for Illegal Immigrants Act of 2025
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- Passed Senate
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Bill overview
This bill restricts state Medicaid programs from providing healthcare coverage to individuals who are unlawfully present in the United States. It specifically limits Medicaid benefits to those who are lawfully residing in the country or have permanent residency. The bill maintains exceptions for emergency medical services where federal funding is already available. It aims to limit the use of state Medicaid funds for individuals lacking legal immigration status.
Key provisions
- Prohibits state Medicaid programs from covering unlawfully present immigrants.
- Excludes individuals without lawful immigration status from Medicaid coverage.
- Allows emergency medical services to remain covered under existing federal payment rules.
- Modifies section 1902(a) of the Social Security Act to implement the restriction.
Who is affected
- State Medicaid programs
- Unlawfully present immigrants
- Individuals without lawful immigration status
- Healthcare providers participating in Medicaid
Notable changes
- Creates a stricter definition of who is eligible for Medicaid coverage.
- Reinforces the federal government’s role in determining Medicaid eligibility criteria.
- Limits state discretion in Medicaid program administration.
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119th CONGRESS — 1st Session
H. R. 584
IN THE HOUSE OF REPRESENTATIVES
A BILL
To amend title XIX of the Social Security Act to prohibit States from making medical assistance available to certain individuals under the Medicaid program.
This Act may be cited as the No Medicaid for Illegal Immigrants Act of 2025
.
Section 1902(a) of the Social Security Act (42 U.S.C. 1396a(a)) is amended—
in paragraph (86), by striking and
at the end;
in paragraph (87), by striking the period and inserting ; and
; and
by inserting after paragraph (87) the following new paragraph: