HR 4209
No Medicaid for Illegals Act
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Bill overview
This bill, titled the No Medicaid for Illegals Act, aims to restrict federal funding for Medicaid and CHIP programs to individuals who do not have verified citizenship, nationality, or a satisfactory immigration status. It modifies existing law to require states to verify these statuses before providing medical assistance and limits the timeframe in which states must offer an opportunity for individuals to provide documentation. The bill also alters provisions related to Social Security data matching and eligibility determination for benefits.
Key provisions
- Prohibits federal Medicaid and CHIP funding for individuals lacking verified citizenship, nationality, or satisfactory immigration status.
- Requires states to verify citizenship or nationality or satisfactory immigration status before providing medical assistance.
- Limits the timeframe for states to provide an opportunity for individuals to present documentation.
- Modifies the Social Security data match process to align with citizenship/immigration verification.
- Eliminates the requirement for states to provide medical assistance during a reasonable opportunity period if they haven’t elected a specific option.
- Clarifies the process for denying eligibility based on immigration status.
- Allows states to opt-in to continue providing medical assistance during reasonable opportunity periods for both citizens/nationals and those with pending immigration status.
Who is affected
- Individuals without verified citizenship or nationality.
Sponsors
Official sponsors from legislative records.
Primary sponsor
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119th CONGRESS — 1st Session
H. R. 4209
IN THE HOUSE OF REPRESENTATIVES
A BILL
To amend titles XIX and XXI of the Social Security Act to prohibit Federal financial participation under Medicaid and CHIP for individuals without verified citizenship, nationality, or satisfactory immigration status.
This Act may be cited as the No Medicaid for Illegals Act
.
Section 1903(i)(22) of the Social Security Act (42 U.S.C. 1396b(i)(22)) is amended—
by adding and
at the end;
by striking to amounts
and inserting
to—
by adding at the end the following new subparagraph:
the period in which the individual is provided the reasonable opportunity to present satisfactory documentary evidence of citizenship or nationality under section 1902(ee)(2)(C) or subsection (x)(4);
the 90-day period described in section 1902(ee)(1)(B)(ii)(II); or
the period in which the individual is provided the reasonable opportunity to submit evidence indicating a satisfactory immigration status under section 1137(d)(4),
amounts expended for such medical assistance, unless the citizenship or nationality of such individual or the satisfactory immigration status of such individual (as applicable) is verified by the end of such period;
Section 2107(e)(1)(N) of the Social Security Act (42 U.S.C. 1397gg(e)(1)(N)) is amended by striking and (17)
and inserting (17), and (22)
.
by striking under clauses (i) and (ii) of section 1137(d)(4)(A)
and inserting under section 1137(d)(4)
; and
by inserting , except that the State shall not be required to make medical assistance available to such individual during the period in which such individual is provided such reasonable opportunity if the State has not elected the option under section 1902(a)(46)(C)
before the period at the end.
Section 1902(ee) of the Social Security Act (42 U.S.C. 1396a(ee)) is amended—
in paragraph (1)(B)(ii)—
in subclause (II), by striking (and continues to provide the individual with medical assistance during such 90-day period)
and inserting and, if the State has elected the option under subsection (a)(46)(C), continues to provide the individual with medical assistance during such 90-day period
; and
in subclause (III), by inserting , or denies eligibility for medical assistance under this title for such individual, as applicable
after under this title
; and
by striking under clauses (i) and (ii) of section 1137(d)(4)(A)
and inserting under section 1137(d)(4)
; and
by inserting , except that the State shall not be required to make medical assistance available to such individual during the period in which such individual is provided such reasonable opportunity if the State has not elected the option under section 1902(a)(46)(C)
before the period at the end.
in subparagraph (A)(ii), by inserting (except that such prohibition on delay, denial, reduction, or termination of eligibility for benefits under the Medicaid program under title XIX shall apply only if the State has elected the option under section 1902(a)(46)(C))
after has been provided
; and
in subparagraph (B)(ii), by inserting (except that such prohibition on delay, denial, reduction, or termination of eligibility for benefits under the Medicaid program under title XIX shall apply only if the State has elected the option under section 1902(a)(46)(C))
after status
.
Section 1902(a)(46) of the Social Security Act (42 U.S.C. 1396a(a)(46)) is amended—
in subparagraph (A), by striking and
at the end;
in subparagraph (B)(ii), by adding and
at the end; and
by inserting after subparagraph (B)(ii) the following new subparagraph:
to an individual described in subparagraph (B) during the period in which such individual is provided the reasonable opportunity to present satisfactory documentary evidence of citizenship or nationality under subsection (ee)(2)(C) or section 1903(x)(4), or during the 90-day period described in subsection (ee)(1)(B)(ii)(II); or
The amendments made by this section shall apply beginning on the date of the enactment of this Act.