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Congress·In Committee·S. 2244

Excluding Illegal Aliens from Medicaid Act

Sen. Paul Introduces Excluding Illegal Aliens from Medicaid Act to Cut Funding for States Providing Migrant Healthcare

Legislative Progress

Senate
House
President
Law

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.
HealthcareImmigration

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.

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2
5
5
-4
ImpactCertaintyScopeDurationSentiment

Programs

State Impacts

Scores: 1 = low, 5 = highSentiment: -5 to +5 (net benefit)

Milestones

2 milestones2 actions
Jul 10, 2025Senate

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.

Jul 10, 2025

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.

Source Information

Document Type

Congressional Bill

Official Title

Excluding Illegal Aliens from Medicaid Act

Bill NumberS 2244
Congress119th Congress
ChamberSenate
Latest ActionRead twice and referred to the Committee on Finance.

Sponsor

Analysis generated by AI. Always verify with official sources.