Bill · H.R. 4209· House(119-HR-4209)
No Medicaid for Illegals Act
- Introduced
- 6/26/2025
- Last activity
- 6/26/2025 — Referred to the House Committee on Energy and Commerce.
- Sponsored by
- Jefferson Van Drew
- Cosponsors
- None
- Introduced
- In Committee
What this bill would do
This bill, known as the "No Medicaid for Illegals Act," seeks to amend the Social Security Act regarding Medicaid and CHIP. It aims to prohibit Federal financial participation for individuals whose citizenship, nationality, or immigration status has not been verified. The legislation changes how medical assistance is provided during certain periods when individuals are presenting evidence of their status. It also establishes an option for States to decide whether to continue providing medical assistance during these specific periods. These changes are intended to take effect on the date the Act is enacted.
Yes
Does this leave more decisions to the states?+5
The bill increases state options regarding the provision of medical assistance during verification periods.
Does this reduce what the federal government spends?+1
The bill may reduce federal spending by limiting financial participation for unverified individuals.
The opposite· 3 of 7
Would immigrants be better off under this?-7
The bill restricts healthcare access and federal funding for individuals during the immigration verification process.
Would Hispanic Americans be better off under this?-6
The bill targets verification processes that may disproportionately affect immigrant populations.
Does this make health care easier to get in general?-6
The bill restricts healthcare access for those undergoing status verification.
Who it would affect, and how
Potential Positive Impacts for People
-
State Option for Medical Assistance: Under Section 2(c)(1)(C), States are given the option to provide medical assistance to individuals while they are in the process of presenting documentary evidence of citizenship, nationality, or satisfactory immigration status. This could allow States to maintain coverage for people during verification periods if they choose to do so.
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CHIP Inclusion: Section 2(a)(1)(2) amends the Social Security Act to include CHIP in these new provisions, which extends the framework of the bill to child health assistance.
Potential Negative Impacts for People
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Prohibition of Federal Funding: Under Section 2(a)(1)(B), Federal financial participation for Medicaid is prohibited for individuals during the periods they are providing evidence of citizenship, nationality, or immigration status, unless that status is verified by the end of that period.
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Changes to Documentation Verification: Section 2(b)(1) amends the law so that a State is not required to provide medical assistance during the "reasonable opportunity" period if the State has not elected a specific option under the Act.
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Impact on Eligibility Denial: Section 2(b)(2)(A)(i)(II) modifies the law to allow for the denial of eligibility for medical assistance under the title based on the new provisions.
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Hover a score for the reason it gave.
- Demographic And Interest Groups
- Good For Immigrants-7Good For Hispanic Americans-6Good For Low Income Households-5Good For Children-3
- Healthcare
- Improves Healthcare Access-6Increases Medicaid Funding-5
- Governance And Ideology
- Increase States Rights+5
- Social Issues And Justice
- Improves Poverty Reduction-4
- Economy And Finance
- Reduces Government Spending+1
- 6/26/2025
- Referred to the House Committee on Energy and Commerce.
- Introduced in House
One bill Congress.gov lists as related to this one — companions in the other chamber, earlier versions, and bills this one absorbed or was folded into.