Us Congress 2025-2026 Regular Session

Us Congress Senate Bill SB523 Compare Versions

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

Old	New	Differences
1	1	II
2	2	119THCONGRESS
3	3	1
4	4	STSESSION S. 523
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 SENATE OF THE UNITED STATES
9	9	FEBRUARY11, 2025
10	10	Mr. C
11	11	ASSIDY(for himself, Mr. BARRASSO, Mr. WICKER, and Mrs. HYDE-
12	12	S
13	13	MITH) introduced the following bill; which was read twice and referred
14	14	to the Committee on Finance
15	15	A BILL
16	16	To amend title XIX of the Social Security Act to prohibit
17	17	Federal Medicaid funding for the administrative costs
18	18	of providing health benefits to individuals who are unau-
19	19	thorized immigrants.
20	20	Be it enacted by the Senate and House of Representa-1
21	21	tives of the United States of America in Congress assembled, 2
22	22	SECTION 1. SHORT TITLE. 3
23	23	This Act may be cited as the ‘‘Protect Medicaid Act’’. 4
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26	26	•S 523 IS
27	27	SEC. 2. PROHIBITING FEDERAL MEDICAID FUNDING FOR 1
28	28	THE ADMINISTRATIVE COSTS OF PROVIDING 2
29	29	HEALTH BENEFITS TO INDIVIDUALS WHO 3
30	30	ARE UNAUTHORIZED IMMIGRANTS. 4
31	31	Section 1903(i) of the Social Security Act (42 U.S.C. 5
32	32	1396b(i)) is amended— 6
33	33	(1) in paragraph (26), by striking ‘‘; or’’ and 7
34	34	inserting a semicolon; 8
35	35	(2) in paragraph (27), by striking the period at 9
36	36	the end and inserting ‘‘; or’’; and 10
37	37	(3) by inserting after paragraph (27) the fol-11
38	38	lowing new paragraph: 12
39	39	‘‘(28) with respect to any amounts expended for 13
40	40	the administration of a State program that provides 14
41	41	health benefits to noncitizens who are ineligible for 15
42	42	medical assistance under this title on the basis of 16
43	43	not having a satisfactory immigration status (as de-17
44	44	fined in section 1137(d)(1)(B)(iii)) (except that such 18
45	45	prohibition shall not be construed as prohibiting 19
46	46	payment under the preceding provisions of this sec-20
47	47	tion for costs attributable to the establishment or 21
48	48	operation of a system designed to ensure compliance 22
49	49	with such prohibition).’’. 23
50	50	SEC. 3. INSPECTOR GENERAL REPORT. 24
51	51	Not later than 180 days after the date of enactment 25
52	52	of this Act, the Inspector General of the Department of 26
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55	55	•S 523 IS
56	56	Health and Human Services shall submit to Congress a 1
57	57	report that includes the following information with respect 2
58	58	to States that provide health benefits to noncitizens who 3
59	59	are ineligible on the basis of immigration status for med-4
60	60	ical assistance under title XIX of the Social Security Act 5
61	61	(42 U.S.C. 1396 et seq.): 6
62	62	(1) How such States separate amounts ex-7
63	63	pended on the administrative costs related to the 8
64	64	State’s Medicaid program and amounts expended on 9
65	65	administrative costs related to providing health ben-10
66	66	efits to such noncitizens. 11
67	67	(2) The types of procedures, protocols, or sys-12
68	68	tems that such States employ to ensure that they 13
69	69	are in full compliance with prohibitions on the use 14
70	70	of Federal funding to provide health benefits to such 15
71	71	noncitizens and how effective they are at ensuring 16
72	72	compliance. 17
73	73	(3) A description of States’ methods of financ-18
74	74	ing State programs that provide health benefits to 19
75	75	noncitizens who are ineligible for medical assistance 20
76	76	due to not having a satisfactory immigration status, 21
77	77	including through the increased use of provider taxes 22
78	78	and intergovernmental transfers to finance the non- 23
79	79	Federal share of expenditures under the State Med-24
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82	82	•S 523 IS
83	83	icaid program for medical assistance provided to in-1
84	84	dividuals who are not so ineligible. 2
85	85	(4) An analysis of— 3
86	86	(A) the extent to which such noncitizens 4
87	87	are provided covered outpatient drugs pur-5
88	88	chased under— 6
89	89	(i) the Medicaid Drug Rebate Pro-7
90	90	gram under section 1927 of the Social Se-8
91	91	curity Act (42 U.S.C. 1396r–8); or 9
92	92	(ii) the drug discount program under 10
93	93	section 340B of the Public Health Service 11
94	94	Act (42 U.S.C. 256b); and 12
95	95	(B) the effect that the provision to such 13
96	96	noncitizens of covered outpatient drugs pur-14
97	97	chased under the programs described in sub-15
98	98	paragraph (A) has on the average manufacturer 16
99	99	price (as defined in section 1927(k)(1) of the 17
100	100	Social Security Act (42 U.S.C. 1396r–8(k)(1))) 18
101	101	of such drugs, including whether the average 19
102	102	manufacturer price for such drugs would be 20
103	103	lower if no drugs purchased under such pro-21
104	104	grams were provided to such noncitizens. 22
105	105	Æ
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