Excluding Illegal Aliens from Medicaid Act

HR 4384, the "Excluding Illegal Aliens from Medicaid Act," accelerates the effective date for excluding undocumented immigrants (who are not qualified aliens and not children or pregnant women lawfully residing in the U.S.) from Medicaid eligibility from October 1, 2026, to July 4, 2025. The bill also establishes a higher federal funding rate for states that choose to provide health coverage to such individuals through state-funded programs, increasing federal support for these specific services. This change directly affects undocumented immigrants who do not qualify as "qualified aliens" under federal law and are not children or pregnant women, removing their Medicaid eligibility starting in 2025. States continuing to cover these individuals can do so via state programs with enhanced federal matching funds for that coverage.