Excluding Illegal Aliens from Medicaid Act
Sen. Paul Introduces Excluding Illegal Aliens from Medicaid Act to Cut Funding for States Providing Migrant Healthcare
Stalled
No legislative action in over 90 days.
↔Companion bill: Congress moves up Medicaid limits for some immigrants and could cut extra federal payments to some statesLegislative Progress
Key Points
- This bill, introduced by Paul, would move up the start date for certain Medicaid eligibility restrictions to July 4, 2025. This change makes it harder for non-citizens to qualify for government-funded healthcare sooner than current law allows.
- The bill creates a financial penalty for states that use their own money to provide health insurance or comprehensive medical benefits to undocumented immigrants. If a state chooses to provide these benefits, the federal government will reduce the amount of money it contributes to that state's Medicaid program.
- Specifically, the federal government would stop paying the higher 'expansion' matching rate for Medicaid and instead pay the much lower standard rate to these states. This could cost states that provide migrant healthcare millions of dollars in federal support, forcing them to either cut those programs or find new ways to pay for them.
- The bill includes exceptions for emergency medical care required by federal law. It also does not penalize states for providing benefits to children or pregnant women who are lawfully residing in the United States.
Impact Analysis
Personal Impact
Life & Work
The bill directly targets undocumented immigrants by speeding up restrictions on their Medicaid eligibility by more than a year. It also pressures states to stop providing any health coverage or financial assistance for health insurance to undocumented residents. If states comply to avoid losing federal money, undocumented individuals could lose access to state-funded health programs, leaving them with few options beyond emergency rooms.
Programs
State Impacts
Milestones
Read twice and referred to the Committee on Finance.
Sent to a congressional committee for expert review. The committee decides whether this bill moves forward.
Introduced in Senate
The bill was officially filed and given a number. It now enters the legislative queue.
Votes
No votes have been recorded for this legislation yet.
Related News
2 articles
Steube Introduces Bill Keeping Illegal Aliens off Medicaid
Representative Greg Steube (R-FL) and Senator Rand Paul (R-KY) introduced the Excluding Illegal Aliens from Medicaid Act to close loopholes states like California use to provide coverage for illegal aliens. The bill would revoke the 90% federal match for states that continue these programs.

Rep. Greg Steube Introduces Legislation to Restrict Medicaid Benefits for Illegal Immigrants
U.S. Representative Greg Steube introduced the 'Excluding Illegal Aliens from Medicaid Act' alongside Senator Rand Paul. The legislation aims to prevent illegal immigrants from receiving Medicaid benefits by closing loopholes in state laws that exploit federal tax funds.
Source Information
Document Type
Congressional Bill
Official Title
Excluding Illegal Aliens from Medicaid Act
Data Sources
Sponsor
Analysis generated by AI. Always verify with official sources.