Bill > S2244

This bill, titled the "Excluding Illegal Aliens from Medicaid Act", proposes several changes to Medicaid eligibility and funding related to non-citizen healthcare coverage. First, it moves forward the effective date for changes in alien Medicaid eligibility from October 1, 2026 to July 4, 2025. Second, it introduces new provisions affecting federal medical assistance percentage (FMAP) for states that provide healthcare or financial assistance to individuals who are not "qualified aliens" (a legal immigration status defined by prior legislation). Specifically, the bill creates a new category of "specified states" that provide financial support or comprehensive health benefits to non-qualified aliens, which would impact their federal Medicaid funding match rates. The bill uses specific legal definitions from immigration law, defining "alien" as per the Immigration and Nationality Act and "qualified alien" as defined in a 1996 welfare reform act. By modifying these provisions, the bill aims to adjust Medicaid's approach to healthcare coverage for non-citizens, potentially reducing federal support for states that extend healthcare benefits beyond federally mandated requirements for certain immigrant populations.

Budget and Finance

https://www.congress.gov/bill/119th-congress/senate-bill/2244/all-info