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H.R. 4384

BillFederalHouseIn Committee
Excluding Illegal Aliens from Medicaid Act
About This Bill
Committee
Latest Action · July 14, 2025
Referred to the House Committee on Energy and Commerce.
Congress
119th (2025–2027)
Introduced
July 14, 2025
Cosponsors (0)
None
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Summary

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This bill accelerates restrictions on Medicaid coverage for undocumented immigrants by moving up an existing deadline from October 1, 2026 to July 4, 2025. It also penalizes states that provide their own health coverage or financial assistance for health insurance to undocumented immigrants by reducing their federal Medicaid reimbursement rates to standard levels rather than allowing them to receive enhanced federal matching funds. The legislation affects state Medicaid programs and any state that uses state funds to help undocumented immigrants purchase health insurance or receive comprehensive health benefits coverage outside of federal programs. The bill specifically exempts lawfully residing children and pregnant women from these restrictions and redefines terms around immigrant eligibility to align state determinations with federal immigration law definitions. No specific appropriations are mentioned in the text.

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