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HR 584
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No Medicaid for Illegal Immigrants Act of 2025

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

Introduced Jan 21, 2025

Latest action (Jan 21, 2025) Referred to the House Committee on Energy and Commerce.

Referred to
Energy and Commerce Committee
Policy area
Health
Issues
Healthcare
Legislative subjects (3)
Border security and unlawful immigrationImmigrant health and welfareMedicaid

Summary

This bill amends Title XIX of the Social Security Act to prohibit states from providing Medicaid medical assistance to individuals who are not lawfully admitted for permanent residence or otherwise permanently residing in the United States under color of law. The prohibition applies to all medical assistance under Medicaid state plans and waivers, with an exception for emergency medical assistance that is federally funded under existing provisions. The bill would restrict state-funded Medicaid coverage while preserving the existing federal requirement that emergency medical services be provided to undocumented immigrants.

AI-generated plain-language summary of the bill text — neutral, and may be imperfect. See the full text below for the exact wording.

Sponsor (1)
10 cosponsors

Money behind the sponsor

Top reported contributors to Kevin Kiley’s campaign committee (2024 cycle) — who funds the bill’s sponsor, not a claim about this bill. Data from FEC.

  • SOVEREIGN NATION $17,700
  • NULL $14,855
  • LECAVALIER CELLARS $13,200
  • STARKEY HEARING TECHNOLOGIES $13,200
  • BRODIE GENERATIONAL CAPITAL PARTNERS $13,200

Organizations whose employees gave the most — itemized individual contributions grouped by the donor’s reported employer (FEC Schedule A). Full finance for Kevin Kiley → · Outside spending →

Actions (2)
  1. Jan 21, 2025 Referred to the House Committee on Energy and Commerce. · house
  2. Jan 21, 2025 Introduced in House

More bills on these subjects (8)

Other bills that carry the most legislative subjects in common with this one (topical discovery — distinct from the procedural related bills above).

  • HR 1958 — Deporting Fraudsters Act of 2026 (shares 2 subjects)
  • SJRES 84 — A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability". (shares 2 subjects)
  • HR 1654 — CUTS Act (shares 2 subjects)
  • HR 1195 — Protect Medicaid Act (shares 2 subjects)
  • HR 61 — Ensuring United Families at the Border Act (shares 2 subjects)
  • HR 116 — Stopping Border Surges Act (shares 2 subjects)
  • HR 9770 — Continuing Appropriations Act, 2027 (shares 1 subject)
  • HR 9388 — One-Stop Pilot Program Extension Act (shares 1 subject)

Similar bills (6)

Bills with similar text or summary — includes reintroductions across Congresses. Ranked by semantic similarity of the bill text (computed locally); a neutral discovery aid, not a claim the bills are duplicates.

  • HR 4209 — No Medicaid for Illegals Act · Introduced Jun 26, 2025 · Cong. 119 92%
  • HR 4384 — Excluding Illegal Aliens from Medicaid Act · Introduced Jul 14, 2025 · Cong. 119 84%
  • HR 1195 — Protect Medicaid Act · Introduced Feb 11, 2025 · Cong. 119 84%
  • S 523 — Protect Medicaid Act · Introduced Feb 11, 2025 · Cong. 119 80%
  • HR 936 — Medicaid Improvement and State Flexibility Act of 2025 · Introduced Feb 4, 2025 · Cong. 119 77%
  • HR 608 — COVER Now Act · Introduced Jan 22, 2025 · Cong. 119 77%

Text versions (1)
  • Introduced in House · Jan 21, 2025

Only one text version is on file, so there’s no earlier version to compare against yet.

Full text

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.”. <all>

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