Bills · S 523
IN COMMITTEE· 119TH CONGRESS
Senate BillS 523Immigrant health and welfareState and local finance
Protect Medicaid Act
INTRO FEB 11· LAST ACTION FEB 11
READING
3MIN
COSPONSORS
3
READER REACTIONS0 TOTAL
NO VOTES YET · BE THE FIRST
- Introduced only
LEGISLATIVE PROGRESS
STEP 2 / 8Introduced
In Committee
Reported
Passed Senate
Passed House
Conference
To President
Became Law
WHAT THE BILL DOES
AI-writtenThis bill matters because it changes how federal taxpayer dollars can be used, specifically redirecting funds away from covering the administrative overhead of state health programs for noncitizens who are ineligible for Medicaid due to their immigration status. If it becomes law, states that continue to offer these health benefits would bear the full administrative cost themselves, potentially straining state budgets or leading to a reduction in services.
For voters, this bill touches on the debate surrounding immigration, healthcare funding, and the division of financial responsibility between federal and state governments. If enacted, it could reduce federal spending in this specific area but might increase the financial burden on states or impact the availability of certain health services for a specific population. The Inspector General report could also provide valuable transparency into how states currently manage and finance these types of programs, which could inform future policy discussions.
KEY PROVISIONS
3AI-extractedPROVISION 01
Prohibits Federal Medicaid funding for the administrative costs of state programs that provide health benefits to noncitizens who are ineligible for medical assistance due to immigration status.
This provision shifts the full administrative cost of these specific programs from federal support to state budgets.
PROVISION 02
Clarifies that federal funds can still be used for the costs of setting up or running systems to ensure compliance with this new prohibition.
This ensures states can use federal money to build systems that prevent the misuse of federal funds, rather than having to pay for those compliance efforts entirely themselves.
PROVISION 03
Requires the Inspector General of the Department of Health and Human Services to submit a report to Congress within 180 days of enactment.
This mandates a detailed federal study into state practices, financing methods, and drug utilization related to health benefits for noncitizens without satisfactory immigration status.
SPONSORSHIP
1 + 3
R· Louisiana
YRS IN OFFICE
17
BILLS LED
118
COSPONSOR BREAKDOWNBIPARTISAN · 0%
DEM 0 REP 3 IND 0
ACTION TIMELINE
2 EVENTSFEB 11
Introduced in Senate
FEB 11
Read twice and referred to the Committee on Finance.
BILL INFO
TypeSenate Bill
NumberS 523
Congress119th
StatusIn Committee
IntroducedFeb 11, 2025
Last actionFeb 11, 2025
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IN COMMITTEE· 119TH CONGRESS · FINANCE COMMITTEE · INTRODUCED FEB 11, 2025
Senate BillS 523Immigrant health and welfareState and local finance
Protect Medicaid Act
INTRODUCED FEB 11, 2025· LAST ACTION FEB 11, 2025
PASSAGE CHANCES
—%
READING
3 min
COSPONSORS
3
COMPLEXITY
Moderate
