[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4209 Introduced in House (IH)]
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119th CONGRESS
1st Session
H. R. 4209
To amend titles XIX and XXI of the Social Security Act to prohibit
Federal financial participation under Medicaid and CHIP for individuals
without verified citizenship, nationality, or satisfactory immigration
status.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
June 26, 2025
Mr. Van Drew introduced the following bill; which was referred to the
Committee on Energy and Commerce
_______________________________________________________________________
A BILL
To amend titles XIX and XXI of the Social Security Act to prohibit
Federal financial participation under Medicaid and CHIP for individuals
without verified citizenship, nationality, or satisfactory immigration
status.
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 Illegals Act''.
SEC. 2. PROHIBITING FEDERAL FINANCIAL PARTICIPATION UNDER MEDICAID AND
CHIP FOR INDIVIDUALS WITHOUT VERIFIED CITIZENSHIP,
NATIONALITY, OR SATISFACTORY IMMIGRATION STATUS.
(a) In General.--
(1) Medicaid.--Section 1903(i)(22) of the Social Security
Act (42 U.S.C. 1396b(i)(22)) is amended--
(A) by adding ``and'' at the end;
(B) by striking ``to amounts'' and inserting ``to--
``(A) amounts''; and
(C) by adding at the end the following new
subparagraph:
``(B) in the case that the State elects under
section 1902(a)(46)(C) to provide for making medical
assistance available to an individual during--
``(i) the period in which the individual is
provided the reasonable opportunity to present
satisfactory documentary evidence of
citizenship or nationality under section
1902(ee)(2)(C) or subsection (x)(4);
``(ii) the 90-day period described in
section 1902(ee)(1)(B)(ii)(II); or
``(iii) the period in which the individual
is provided the reasonable opportunity to
submit evidence indicating a satisfactory
immigration status under section 1137(d)(4),
amounts expended for such medical assistance, unless
the citizenship or nationality of such individual or
the satisfactory immigration status of such individual
(as applicable) is verified by the end of such
period;''.
(2) CHIP.--Section 2107(e)(1)(N) of the Social Security Act
(42 U.S.C. 1397gg(e)(1)(N)) is amended by striking ``and (17)''
and inserting ``(17), and (22)''.
(b) Eliminating State Requirement To Provide Medical Assistance
During Reasonable Opportunity Period.--
(1) Documentary evidence of citizenship or nationality.--
Section 1903(x)(4) of the Social Security Act (42 U.S.C.
1396b(x)) is amended--
(A) by striking ``under clauses (i) and (ii) of
section 1137(d)(4)(A)'' and inserting ``under section
1137(d)(4)''; and
(B) by inserting ``, except that the State shall
not be required to make medical assistance available to
such individual during the period in which such
individual is provided such reasonable opportunity if
the State has not elected the option under section
1902(a)(46)(C)'' before the period at the end.
(2) Social security data match.--Section 1902(ee) of the
Social Security Act (42 U.S.C. 1396a(ee)) is amended--
(A) in paragraph (1)(B)(ii)--
(i) in subclause (II), by striking ``(and
continues to provide the individual with
medical assistance during such 90-day period)''
and inserting ``and, if the State has elected
the option under subsection (a)(46)(C),
continues to provide the individual with
medical assistance during such 90-day period'';
and
(ii) in subclause (III), by inserting ``,
or denies eligibility for medical assistance
under this title for such individual, as
applicable'' after ``under this title''; and
(B) in paragraph (2)(C)--
(i) by striking ``under clauses (i) and
(ii) of section 1137(d)(4)(A)'' and inserting
``under section 1137(d)(4)''; and
(ii) by inserting ``, except that the State
shall not be required to make medical
assistance available to such individual during
the period in which such individual is provided
such reasonable opportunity if the State has
not elected the option under section
1902(a)(46)(C)'' before the period at the end.
(3) Individuals with satisfactory immigration status.--
Section 1137(d)(4) of the Social Security Act (42 U.S.C. 1320b-
7(d)(4)) is amended--
(A) in subparagraph (A)(ii), by inserting ``(except
that such prohibition on delay, denial, reduction, or
termination of eligibility for benefits under the
Medicaid program under title XIX shall apply only if
the State has elected the option under section
1902(a)(46)(C))'' after ``has been provided''; and
(B) in subparagraph (B)(ii), by inserting ``(except
that such prohibition on delay, denial, reduction, or
termination of eligibility for benefits under the
Medicaid program under title XIX shall apply only if
the State has elected the option under section
1902(a)(46)(C))'' after ``status''.
(c) Option To Continue Providing Medical Assistance During
Reasonable Opportunity Period.--
(1) Medicaid.--Section 1902(a)(46) of the Social Security
Act (42 U.S.C. 1396a(a)(46)) is amended--
(A) in subparagraph (A), by striking ``and'' at the
end;
(B) in subparagraph (B)(ii), by adding ``and'' at
the end; and
(C) by inserting after subparagraph (B)(ii) the
following new subparagraph:
``(C) provide, at the option of the State, for making
medical assistance available--
``(i) to an individual described in subparagraph
(B) during the period in which such individual is
provided the reasonable opportunity to present
satisfactory documentary evidence of citizenship or
nationality under subsection (ee)(2)(C) or section
1903(x)(4), or during the 90-day period described in
subsection (ee)(1)(B)(ii)(II); or
``(ii) to an individual who is not a citizen or
national of the United States during the period in
which such individual is provided the reasonable
opportunity to submit evidence indicating a
satisfactory immigration status under section
1137(d)(4);''.
(2) CHIP.--Section 2105(c)(9) of the Social Security Act
(42 U.S.C. 1397ee(c)(9)) is amended by adding at the end the
following new subparagraph:
``(C) Option to continue providing child health
assistance during reasonable opportunity period.--
Section 1902(a)(46)(C) shall apply to States under this
title in the same manner as it applies to a State under
title XIX.''.
(d) Effective Date.--The amendments made by this section shall
apply beginning on the date of the enactment of this Act.
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