I
119THCONGRESS
1
STSESSION H. R. 1195
To amend title XIX of the Social Security Act to prohibit Federal Medicaid
funding for the administrative costs of providing health benefits to indi-
viduals who are unauthorized immigrants.
IN THE HOUSE OF REPRESENTATIVES
FEBRUARY11, 2025
Mr. H
UDSON(for himself and Mr. CRENSHAW) 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
Federal Medicaid funding for the administrative costs
of providing health benefits to individuals who are unau-
thorized immigrants.
Be it enacted by the Senate and House of Representa-1
tives of the United States of America in Congress assembled, 2
SECTION 1. SHORT TITLE. 3
This Act may be cited as the ‘‘Protect Medicaid Act’’. 4
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SEC. 2. PROHIBITING FEDERAL MEDICAID FUNDING FOR 1
THE ADMINISTRATIVE COSTS OF PROVIDING 2
HEALTH BENEFITS TO INDIVIDUALS WHO 3
ARE UNAUTHORIZED IMMIGRANTS. 4
Section 1903(i) of the Social Security Act (42 U.S.C. 5
1396b(i)) is amended— 6
(1) in paragraph (26), by striking ‘‘; or’’ and 7
inserting a semicolon; 8
(2) in paragraph (27), by striking the period at 9
the end and inserting ‘‘; or’’; and 10
(3) by inserting after paragraph (27) the fol-11
lowing new paragraph: 12
‘‘(28) with respect to any amounts expended for 13
the administration of a State program associated 14
with providing health benefits to noncitizens who are 15
not lawfully admitted permanent residents and are 16
ineligible for medical assistance under this title on 17
the basis of not having a satisfactory immigration 18
status (as defined in section 1137(d)(1)(B)(iii)) (ex-19
cept that such prohibition shall not be construed as 20
prohibiting payment under the preceding provisions 21
of this section for costs attributable to the establish-22
ment or operation of a system designed to ensure 23
compliance with such prohibition).’’. 24
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SEC. 3. INSPECTOR GENERAL REPORT. 1
Not later than 180 days after the date of enactment 2
of this Act, the Inspector General of the Department of 3
Health and Human Services shall submit to Congress a 4
report that includes the following information with respect 5
to States that provide health benefits to noncitizens who 6
are not lawfully admitted permanent residents and are in-7
eligible on the basis of immigration status for medical as-8
sistance under title XIX of the Social Security Act (42 9
U.S.C. 1396 et seq.): 10
(1) How such States separate amounts ex-11
pended on the administrative costs related to the 12
State’s Medicaid program and amounts expended on 13
administrative costs related to providing health ben-14
efits to such noncitizens. 15
(2) The types of procedures, protocols, or sys-16
tems that such States employ to ensure that they 17
are in full compliance with prohibitions on the use 18
of Federal funding to provide health benefits to such 19
noncitizens and how effective they are at ensuring 20
compliance. 21
(3) A description of States’ methods of financ-22
ing State programs that provide health benefits to 23
such noncitizens who are ineligible for medical as-24
sistance due to not having a satisfactory immigra-25
tion status, including through the increased use of 26
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provider taxes and intergovernmental transfers to fi-1
nance the non-Federal share of expenditures under 2
the State Medicaid program for medical assistance 3
provided to individuals who are not so ineligible. 4
(4) An analysis of— 5
(A) the extent to which such noncitizens 6
are provided covered outpatient drugs pur-7
chased under— 8
(i) the Medicaid Drug Rebate Pro-9
gram under section 1927 of the Social Se-10
curity Act (42 U.S.C. 1396r–8); or 11
(ii) the drug discount program under 12
section 340B of the Public Health Service 13
Act (42 U.S.C. 256b); and 14
(B) the effect that the provision to such 15
noncitizens of covered outpatient drugs pur-16
chased under the programs described in sub-17
paragraph (A) has on the average manufacturer 18
price (as defined in section 1927(k)(1) of the 19
Social Security Act (42 U.S.C. 1396r–8(k)(1))) 20
of such drugs, including whether the average 21
manufacturer price for such drugs would be 22
lower if no drugs purchased under such pro-23
grams were provided to such noncitizens. 24
Æ
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