Us Congress 2025-2026 Regular Session

Us Congress House Bill HB1195 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	I
2	2	119THCONGRESS
3	3	1
4	4	STSESSION H. R. 1195
5	5	To amend title XIX of the Social Security Act to prohibit Federal Medicaid
6	6	funding for the administrative costs of providing health benefits to indi-
7	7	viduals who are unauthorized immigrants.
8	8	IN THE HOUSE OF REPRESENTATIVES
9	9	FEBRUARY11, 2025
10	10	Mr. H
11	11	UDSON(for himself and Mr. CRENSHAW) introduced the following bill;
12	12	which was referred to the Committee on Energy and Commerce
13	13	A BILL
14	14	To amend title XIX of the Social Security Act to prohibit
15	15	Federal Medicaid funding for the administrative costs
16	16	of providing health benefits to individuals who are unau-
17	17	thorized immigrants.
18	18	Be it enacted by the Senate and House of Representa-1
19	19	tives of the United States of America in Congress assembled, 2
20	20	SECTION 1. SHORT TITLE. 3
21	21	This Act may be cited as the ‘‘Protect Medicaid Act’’. 4
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24	24	•HR 1195 IH
25	25	SEC. 2. PROHIBITING FEDERAL MEDICAID FUNDING FOR 1
26	26	THE ADMINISTRATIVE COSTS OF PROVIDING 2
27	27	HEALTH BENEFITS TO INDIVIDUALS WHO 3
28	28	ARE UNAUTHORIZED IMMIGRANTS. 4
29	29	Section 1903(i) of the Social Security Act (42 U.S.C. 5
30	30	1396b(i)) is amended— 6
31	31	(1) in paragraph (26), by striking ‘‘; or’’ and 7
32	32	inserting a semicolon; 8
33	33	(2) in paragraph (27), by striking the period at 9
34	34	the end and inserting ‘‘; or’’; and 10
35	35	(3) by inserting after paragraph (27) the fol-11
36	36	lowing new paragraph: 12
37	37	‘‘(28) with respect to any amounts expended for 13
38	38	the administration of a State program associated 14
39	39	with providing health benefits to noncitizens who are 15
40	40	not lawfully admitted permanent residents and are 16
41	41	ineligible for medical assistance under this title on 17
42	42	the basis of not having a satisfactory immigration 18
43	43	status (as defined in section 1137(d)(1)(B)(iii)) (ex-19
44	44	cept that such prohibition shall not be construed as 20
45	45	prohibiting payment under the preceding provisions 21
46	46	of this section for costs attributable to the establish-22
47	47	ment or operation of a system designed to ensure 23
48	48	compliance with such prohibition).’’. 24
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51	51	•HR 1195 IH
52	52	SEC. 3. INSPECTOR GENERAL REPORT. 1
53	53	Not later than 180 days after the date of enactment 2
54	54	of this Act, the Inspector General of the Department of 3
55	55	Health and Human Services shall submit to Congress a 4
56	56	report that includes the following information with respect 5
57	57	to States that provide health benefits to noncitizens who 6
58	58	are not lawfully admitted permanent residents and are in-7
59	59	eligible on the basis of immigration status for medical as-8
60	60	sistance under title XIX of the Social Security Act (42 9
61	61	U.S.C. 1396 et seq.): 10
62	62	(1) How such States separate amounts ex-11
63	63	pended on the administrative costs related to the 12
64	64	State’s Medicaid program and amounts expended on 13
65	65	administrative costs related to providing health ben-14
66	66	efits to such noncitizens. 15
67	67	(2) The types of procedures, protocols, or sys-16
68	68	tems that such States employ to ensure that they 17
69	69	are in full compliance with prohibitions on the use 18
70	70	of Federal funding to provide health benefits to such 19
71	71	noncitizens and how effective they are at ensuring 20
72	72	compliance. 21
73	73	(3) A description of States’ methods of financ-22
74	74	ing State programs that provide health benefits to 23
75	75	such noncitizens who are ineligible for medical as-24
76	76	sistance due to not having a satisfactory immigra-25
77	77	tion status, including through the increased use of 26
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80	80	•HR 1195 IH
81	81	provider taxes and intergovernmental transfers to fi-1
82	82	nance the non-Federal share of expenditures under 2
83	83	the State Medicaid program for medical assistance 3
84	84	provided to individuals who are not so ineligible. 4
85	85	(4) An analysis of— 5
86	86	(A) the extent to which such noncitizens 6
87	87	are provided covered outpatient drugs pur-7
88	88	chased under— 8
89	89	(i) the Medicaid Drug Rebate Pro-9
90	90	gram under section 1927 of the Social Se-10
91	91	curity Act (42 U.S.C. 1396r–8); or 11
92	92	(ii) the drug discount program under 12
93	93	section 340B of the Public Health Service 13
94	94	Act (42 U.S.C. 256b); and 14
95	95	(B) the effect that the provision to such 15
96	96	noncitizens of covered outpatient drugs pur-16
97	97	chased under the programs described in sub-17
98	98	paragraph (A) has on the average manufacturer 18
99	99	price (as defined in section 1927(k)(1) of the 19
100	100	Social Security Act (42 U.S.C. 1396r–8(k)(1))) 20
101	101	of such drugs, including whether the average 21
102	102	manufacturer price for such drugs would be 22
103	103	lower if no drugs purchased under such pro-23
104	104	grams were provided to such noncitizens. 24
105	105	Æ
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