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Congress·In Committee·S. 2244

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

Excluding Illegal Aliens from Medicaid Act

8 months ago·View on Congress.gov
Part of: Bipartisan Push to Restrict Medicaid Funding for Undocumented Immigrants
⏸

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 states

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

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

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.

Jul 10, 2025

Introduced in Senate

What Happens Next

Projected impacts based on AI analysis

2025-07-04

Medicaid eligibility restrictions for non-citizens would take effect retroactively to July 4, 2025

If enacted, the new rules would apply as if they started on Independence Day 2025 — more than a year earlier than the current October 2026 date. States and individuals would need to adjust immediately.

2025-07-04

States providing health coverage to undocumented immigrants start losing enhanced federal Medicaid funding

States like California, New York, and Illinois that use their own funds to cover undocumented residents would see their federal Medicaid matching rate drop from roughly 90% to 50-75% for their entire expansion population — potentially costing billions. This creates enormous pressure to end state-funded coverage programs.

Related Bills

1 bill
H.R. 4384Identical bill

Excluding Illegal Aliens from Medicaid Act

Jul 14 — Referred to the House Committee on Energy and Commerce.

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.