What does Preamble of S 2244 do?

This bill, formally titled 'To require immediate changes to Medicaid relating to alien eligibility and payments to Medicaid expansion States that furnish health care to certain aliens,' aims to modify Medicaid eligibility rules. The bill proposes changes to Medicaid concerning eligibility for aliens. It also addresses payments to Medicaid expansion states that provide healthcare to specific aliens.

What does SHORT TITLE. of S 2244 do?

This bill is formally titled the Excluding Illegal Aliens from Medicaid Act.

What does CHANGE OF EFFECTIVE DATE FOR ALIEN MEDICAID ELIGIBILITY. of S 2244 do?

This section amends Section 1903(v)(5) of the Social Security Act. The amendment strikes 'October 1, 2026' and inserts 'July 4, 2025'. The amendment is to a section added by Public Law 119-21. The amendment's effective date is as if included in the enactment of the referenced section of Public Law 119-21.

What does EXPANSION FMAP FOR CERTAIN STATES PROVIDING PAYMENTS FOR HEALTH of S 2244 do?

This section amends Section 1905 of the Social Security Act. It introduces the term 'specified State' which applies to states providing financial assistance or comprehensive health benefits to certain aliens. A 'specified State' provides assistance to aliens who are not 'qualified aliens' and are not children or pregnant women lawfully residing in the United States. The definition of 'alien' and 'qualified alien' are referenced from the Immigration and Nationality Act and the Personal Responsibility and Work Opportunity Reconciliation Act of 1996, respectively. The amendment adjusts the Federal medical assistance percentage (FMAP) for 'specified States' beginning in calendar quarters after July 4, 2025. The changes also modify the calculation of FMAP from an annual to a quarterly basis.

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Excluding Illegal Aliens from Medicaid Act — S. 2244

Last updated: 7/10/2025 · Introduced: 7/10/2025

Author: Rand Paul (R-KY)

TL;DR (AI)

This bill advances the date for Medicaid eligibility changes related to aliens from October 1, 2026, to July 4, 2025.
It establishes a new category of 'specified States' that provide healthcare benefits to aliens who are not lawfully residing in the United States and are not children or pregnant women.
The bill adjusts the federal medical assistance percentage (FMAP) for 'specified States' on a quarterly basis, beginning after July 4, 2025.

119th Congressin committeeHR. 4384(In Committee)Official page

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Other Sections

Includes provisions on preamble, short title., and 2 more.

4 sections

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