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H.R. 4209: No Medicaid for Illegals Act

This bill, known as the "No Medicaid for Illegals Act," proposes changes to the Medicaid and Children's Health Insurance Program (CHIP) in the United States, specifically targeting individuals who do not have verified citizenship, nationality, or satisfactory immigration status. Here’s a breakdown of what the bill entails:

Amendments to Medicaid and CHIP

  • Prohibition of Federal Funding: The bill aims to prohibit Federal financial participation under both Medicaid and CHIP for individuals without verified citizenship or satisfactory immigration status. This means that if a state provides Medicaid or CHIP to someone who does not meet these criteria, they will not receive federal funding to cover those expenses.
  • Eligibility Documentation: States are required to verify an individual's citizenship, nationality, or immigration status before they can receive any financial support through Medicaid or CHIP. If an individual is in a "reasonable opportunity period" to present such documentation, states may continue support temporarily. However, the bill restricts the timeframe during which expenses can be claimed.

Changes to Medical Assistance Provisions

  • Removal of State Requirements: The bill eliminates requirements for states to provide medical assistance during the period when individuals are allowed to present evidence of their citizenship or immigration status if the state has not opted for certain provisions.
  • Social Security Data Match: The legislation also revises the rules regarding how states must handle eligibility matches with Social Security data to deny assistance to those who are not verified as eligible.

Effect on Individuals with Satisfactory Immigration Status

  • The bill specifies that states may not delay or deny medical assistance for individuals with satisfactory immigration status unless they have not elected specific options under federal law.
  • These changes apply to potential delays in eligibility for Medicaid benefits, mandating swift action from states regarding verification processes.

State Options for Medical Assistance

  • Continuing Assistance Options: States will have the option to provide medical assistance during the period individuals are allowed to submit necessary documentation regarding their citizenship or immigration status.
  • This could allow for a temporary continuation of assistance for those who are actively working to provide acceptable documentation.

Effective Date

  • The amendments set forth in this bill would take effect immediately upon enactment.

Relevant Companies

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Sponsors

1 sponsor

Actions

2 actions

Date Action
Jun. 26, 2025 Introduced in House
Jun. 26, 2025 Referred to the House Committee on Energy and Commerce.

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