Rep. Kiley Introduces the No Medicaid for Illegal Immigrants Act to Block State Coverage
This bill is currently sitting in the House Committee on Energy and Commerce where it has been since January 2025. No action has been taken on the proposal for 17 months. It is considered stalled because the committee has not held a vote or scheduled any further steps.
While this bill may gain support in the House, it faces a very difficult path in the Senate where it would need 60 votes to overcome a likely filibuster.
Scores run from -100 (strongly harmful) to +100 (strongly beneficial) for each group, combining impact, certainty, scope, and duration ratings of 1-5. How impact scoring works
Undocumented immigrants who currently receive Medicaid coverage through state-level expansions would lose their health insurance entirely. Several states, most notably California, have extended full Medicaid benefits to undocumented residents using state funds and waivers. This bill would prohibit those programs, cutting off non-emergency health coverage for hundreds of thousands of people who rely on it for routine care, prescriptions, and chronic disease management.
“provide that no medical assistance (other than such assistance for which payment is available pursuant to section 1903(v)(2)) is made available under such plan (or under a waiver of such plan) to an alien who is not lawfully admitted for permanent residence or otherwise permanently residing in the United States under color of law.”
Referred to the House Committee on Energy and Commerce.
Introduced in House
The bill was officially filed and given a number. It now enters the legislative queue.
Representative Kevin Kiley (R-CA) introduced the No Medicaid for Illegal Immigrants Act, which would prohibit states from using both federal and state Medicaid funds to provide services for undocumented immigrants, while maintaining an exception for emergency medical care.
The House-passed reconciliation bill includes provisions to slash federal Medicaid reimbursements to states that use their own funds to provide health insurance to undocumented residents. The penalty would reduce the federal matching rate by 10 percentage points for expansion states.
Analysis of the House budget bill shows it penalizes states providing comprehensive health benefits to undocumented immigrants by reducing their federal Medicaid funding. While the bill is framed as removing 'illegals' from Medicaid, most affected individuals are in state-only funded programs.
No votes or related bills recorded for this bill yet.
Document Type
Congressional Bill
Official Title
No Medicaid for Illegal Immigrants Act of 2025
Analysis generated by AI. Always verify with official sources.