Excluding Illegal Aliens from Medicaid Act

This bill (S 2244) changes Medicaid eligibility rules for non-qualified aliens by moving the effective date for excluding them from Medicaid from October 2026 to July 4, 2025. It specifically targets states that provide health benefits or financial assistance (from state funds) to non-qualified aliens who are not lawfully residing children or pregnant women eligible for Medicaid. The bill defines "specified states" as those offering such coverage to these individuals, triggering adjustments to federal Medicaid funding (FMAP) for those states. This directly affects Medicaid programs in states providing health coverage to non-qualified aliens and impacts non-citizen residents who would lose Medicaid eligibility under the new timeline.