Bill Details

HR.584 - 119th Congress

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AI Summary This summary was generated by AI from the bill text. AI can get information wrong.

This bill would stop states from using Medicaid to provide most medical care to people who are not lawfully in the United States. It would require state Medicaid programs, including waiver programs, to deny medical assistance to undocumented immigrants and other people who are not legally admitted for permanent residence or otherwise allowed to live in the country under federal law. The bill would still allow the limited types of care that current law already covers in certain cases, such as some emergency-related services.

  • It would change the Medicaid rules that states must follow as a condition of running their programs.
  • States would be prohibited from giving Medicaid medical assistance to people who are not lawfully admitted for permanent residence or otherwise permanently residing in the U.S. under color of law.
  • The restriction would apply both to regular Medicaid plans and to Medicaid waivers.
  • The bill would keep in place any medical assistance that is already allowed under the specific federal exception for certain covered services.

Official Summaries

No Medicaid for Illegal Immigrants Act of 2025

This bill prohibits state Medicaid programs from covering individuals who are unlawfully present in the United States, except for certain emergency services for which federal payment is authorized under current law.

Current Full Text

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 584 Introduced in House (IH)]

<DOC>






119th CONGRESS
  1st Session
                                H. R. 584

 To amend title XIX of the Social Security Act to prohibit States from 
 making medical assistance available to certain individuals under the 
                           Medicaid program.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                            January 21, 2025

   Mr. Kiley of California introduced the following bill; which was 
            referred to the Committee on Energy and Commerce

_______________________________________________________________________

                                 A BILL


 
 To amend title XIX of the Social Security Act to prohibit States from 
 making medical assistance available to certain individuals under the 
                           Medicaid program.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``No Medicaid for Illegal Immigrants 
Act of 2025''.

SEC. 2. PROHIBITING STATES FROM MAKING MEDICAL ASSISTANCE AVAILABLE TO 
              CERTAIN INDIVIDUALS UNDER THE MEDICAID PROGRAM.

    Section 1902(a) of the Social Security Act (42 U.S.C. 1396a(a)) is 
amended--
            (1) in paragraph (86), by striking ``and'' at the end;
            (2) in paragraph (87), by striking the period and inserting 
        ``; and''; and
            (3) by inserting after paragraph (87) the following new 
        paragraph:
            ``(88) notwithstanding section 1903(v)(4), 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.''.
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