Protect Medicaid Act

The Protect Medicaid Act (S 523) prohibits federal Medicaid funds from covering administrative costs for health benefits provided to unauthorized immigrants. It directly affects states that currently offer Medicaid-like benefits to noncitizens ineligible due to immigration status, requiring them to fund these administrative costs themselves. The bill amends the Social Security Act to explicitly ban such federal spending and mandates an Inspector General report detailing how states separate costs, ensure compliance, and finance these programs (e.g., via provider taxes). The report must also analyze drug pricing impacts when unauthorized immigrants receive covered medications through Medicaid or 340B programs. This is a procedural change restricting federal funding, not altering eligibility for Medicaid benefits.