Excluding Illegal Aliens from Medicaid Act

Key Points

• Moves up the date for new Medicaid limits tied to immigration status from Oct. 1, 2026 to July 4, 2025.
• This would make the tighter rules start much sooner, affecting people who are not considered “qualified” under federal immigration categories.
• Changes how much federal Medicaid money certain states get if they use state funds to help pay for health coverage for some nonqualified immigrants.
• States that provide this kind of help could lose the extra federal match tied to Medicaid expansion for quarters starting on or after July 4, 2025.
• Lawfully residing children and pregnant women who already qualify under existing rules are carved out from the bill’s “specified state” definition in key situations.