[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4384 Introduced in House (IH)]
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119th CONGRESS
1st Session
H. R. 4384
To require immediate changes to Medicaid relating to alien eligibility
and payments to Medicaid expansion States that furnish health care to
certain aliens.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
July 14, 2025
Mr. Steube introduced the following bill; which was referred to the
Committee on Energy and Commerce
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A BILL
To require immediate changes to Medicaid relating to alien eligibility
and payments to Medicaid expansion States that furnish health care to
certain aliens.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Excluding Illegal Aliens from
Medicaid Act''.
SEC. 2. CHANGE OF EFFECTIVE DATE FOR ALIEN MEDICAID ELIGIBILITY.
(a) In General.--Section 1903(v)(5) of the Social Security Act (42
U.S.C. 1396b(v)(5)), as added by section 71109(a) of an Act to provide
for reconciliation pursuant to title II of H. Con. Res. 14 (Public Law
119-21), is amended by striking ``October 1, 2026'' and inserting
``July 4, 2025''.
(b) Effective Date.--The amendment made by subsection (a) shall
take effect as if included in the enactment of section 71109 of an Act
to provide for reconciliation pursuant to title II of H. Con. Res. 14
(Public Law 119-21).
SEC. 3. EXPANSION FMAP FOR CERTAIN STATES PROVIDING PAYMENTS FOR HEALTH
CARE FURNISHED TO CERTAIN INDIVIDUALS.
Section 1905 of the Social Security Act (42 U.S.C. 1396d) is
amended--
(1) in subsection (y)--
(A) in paragraph (1)(E), by inserting ``(or, for
calendar quarters beginning on or after July 4, 2025,
in the case such State is a specified State with
respect to such calendar quarter, the Federal medical
assistance percentage determined under subsection (b)
for such State)'' after ``thereafter''; and
(B) in paragraph (2), by adding at the end the
following new subparagraph:
``(C) Specified state.--The term `specified State'
means, with respect to a quarter, a State that--
``(i) provides any form of financial
assistance from a State general fund during
such quarter, in whole or in part, whether or
not made under a State plan (or waiver of such
plan) under this title or under another program
established by the State, to or on behalf of an
alien who is not a qualified alien and is not a
child or pregnant woman who is lawfully
residing in the United States and eligible for
medical assistance pursuant to section
1903(v)(4) or for child health assistance or
pregnancy-related assistance pursuant to
section 2107(e)(1)(Q), for the purchasing of
health insurance coverage (as defined in
section 2791(b)(1) of the Public Health Service
Act) for an alien who is not a qualified alien
and is not such a child or pregnant woman; or
``(ii) provides any form of comprehensive
health benefits coverage, except such coverage
required by Federal law, during such quarter,
whether or not under a State plan (or waiver of
such plan) under this title or under another
program established by the State, and
regardless of the source of funding for such
coverage, to an alien who is not a qualified
alien and is not such a child or pregnant
woman.
``(D) Immigration terms.--
``(i) Alien.--The term `alien' has the
meaning given such term in section 101(a) of
the Immigration and Nationality Act.
``(ii) Qualified alien.--The term
`qualified alien' has the meaning given such
term in section 431 of the Personal
Responsibility and Work Opportunity
Reconciliation Act of 1996, except that the
references to `(in the opinion of the agency
providing such benefits)' in subsection (c) of
such section 431 shall be treated as references
to `(in the opinion of the State in which such
comprehensive health benefits coverage or such
financial assistance is provided, as
applicable)'.''; and
(2) in subsection (z)(2)--
(A) in subparagraph (A), by striking ``for such
year'' and inserting ``for such quarter''; and
(B) in subparagraph (B)(i)--
(i) in the matter preceding subclause (I),
by striking ``for a year'' and inserting ``for
a calendar quarter in a year''; and
(ii) in subclause (II), by striking ``for
the year'' and inserting ``for the quarter for
the State''.
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