I 
119TH CONGRESS 
2D SESSION 
H. R. 7453 
To amend the Internal Revenue Code of 1986 to make sex offenders ineligible 
for the refundable credit for coverage under a qualified health plan 
and to amend title XIX of the Social Security Act to make sex offenders 
ineligible for Federally funded medical assistance under the Medicaid 
program. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 9, 2026 
Mr. STEUBE introduced the following bill; which was referred to the Com-
mittee on Ways and Means, and in addition to the Committee on Energy 
and Commerce, for a period to be subsequently determined by the Speak-
er, in each case for consideration of such provisions as fall within the ju-
risdiction of the committee concerned 
A BILL 
To amend the Internal Revenue Code of 1986 to make 
sex offenders ineligible for the refundable credit for cov-
erage under a qualified health plan and to amend title 
XIX of the Social Security Act to make sex offenders 
ineligible for Federally funded medical assistance under 
the Medicaid program. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Criminals’ Loss of Eli-
gibility and Assistance Networks Act’’ or the ‘‘CLEAN 
Act’’. 
SEC. 2. SEX OFFENDERS INELIGIBLE FOR REFUNDABLE 
CREDIT FOR COVERAGE UNDER A QUALIFIED 
HEALTH PLAN. 
(a) IN GENERAL.—Section 36B(c)(1) of the Internal 
Revenue Code of 1986 is amended by adding at the end 
the following new subparagraph: 
‘‘(F) DENIAL OF CREDIT TO SEX OFFEND-
ERS.—No credit shall be allowed under this sec-
tion to any individual if such individual (or the 
individual’s spouse, in the case of a joint re-
turn) is a sex offender (as defined in section 
111 of the Adam Walsh Child Protection and 
Safety Act of 2006) as of the last day of the 
taxable year.’’. 
(b) EFFECTIVE DATE.—The amendment made by 
this section shall apply to taxable years ending after the 
date of the enactment of this Act. 
SEC. 3. SEX OFFENDERS INELIGIBLE FOR FEDERALLY 
FUNDED MEDICAL ASSISTANCE UNDER MED-
ICAID. 
(a) IN GENERAL.—Section 1903(i) of the Social Se-
curity Act (42 U.S.C. 1396b(i)) is amended— 
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(1) in paragraph (26), by striking ‘‘or’’ at the 
end; 
(2) in paragraph (27), by striking the period at 
the end and inserting ‘‘; or’’; and 
(3) by inserting after paragraph (27) the fol-
lowing: 
‘‘(28) with respect to any amounts expended for 
medical assistance for an individual who is a sex of-
fender (as defined in section 111 of the Adam Walsh 
Child Protection and Safety Act of 2006).’’. 
(b) STATES NOT REQUIRED TO FURNISH MEDICAL 
ASSISTANCE.—Section 1902(a) of such Act (42 U.S.C. 
1396a(a)) is amended by adding at the end the following: 
‘‘Notwithstanding paragraph (10) or any other provision 
of this subsection, a State may elect not to make medical 
assistance available to an individual described in section 
1903(i)(28).’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall apply to individuals enrolled or reenrolled 
under a State plan (or waiver of such plan) under title 
XIX of the Social Security Act (42 U.S.C. 1936 et seq.) 
on or after the date of the enactment of this Act. 
Æ 
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