I 
119TH CONGRESS 
1ST SESSION H. R. 1195 
To amend title XIX of the Social Security Act to prohibit Federal Medicaid 
funding for the administrative costs of providing health benefits to indi-
viduals who are unauthorized immigrants. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 11, 2025 
Mr. HUDSON (for himself and Mr. CRENSHAW) introduced the following bill; 
which was referred to the Committee on Energy and Commerce 
A BILL 
To amend title XIX of the Social Security Act to prohibit 
Federal Medicaid funding for the administrative costs 
of providing health benefits to individuals who are unau-
thorized immigrants. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Protect Medicaid Act’’. 
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SEC. 2. PROHIBITING FEDERAL MEDICAID FUNDING FOR 
THE ADMINISTRATIVE COSTS OF PROVIDING 
HEALTH BENEFITS TO INDIVIDUALS WHO 
ARE UNAUTHORIZED IMMIGRANTS. 
Section 1903(i) of the Social Security Act (42 U.S.C. 
1396b(i)) is amended— 
(1) in paragraph (26), by striking ‘‘; or’’ and 
inserting a semicolon; 
(2) in paragraph (27), by striking the period at 
the end and inserting ‘‘; or’’; and 
(3) by inserting after paragraph (27) the fol-
lowing new paragraph: 
‘‘(28) with respect to any amounts expended for 
the administration of a State program associated 
with providing health benefits to noncitizens who are 
not lawfully admitted permanent residents and are 
ineligible for medical assistance under this title on 
the basis of not having a satisfactory immigration 
status (as defined in section 1137(d)(1)(B)(iii)) (ex-
cept that such prohibition shall not be construed as 
prohibiting payment under the preceding provisions 
of this section for costs attributable to the establish-
ment or operation of a system designed to ensure 
compliance with such prohibition).’’. 
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SEC. 3. INSPECTOR GENERAL REPORT. 
Not later than 180 days after the date of enactment 
of this Act, the Inspector General of the Department of 
Health and Human Services shall submit to Congress a 
report that includes the following information with respect 
to States that provide health benefits to noncitizens who 
are not lawfully admitted permanent residents and are in-
eligible on the basis of immigration status for medical as-
sistance under title XIX of the Social Security Act (42 
U.S.C. 1396 et seq.): 
(1) How such States separate amounts ex-
pended on the administrative costs related to the 
State’s Medicaid program and amounts expended on 
administrative costs related to providing health ben-
efits to such noncitizens. 
(2) The types of procedures, protocols, or sys-
tems that such States employ to ensure that they 
are in full compliance with prohibitions on the use 
of Federal funding to provide health benefits to such 
noncitizens and how effective they are at ensuring 
compliance. 
(3) A description of States’ methods of financ-
ing State programs that provide health benefits to 
such noncitizens who are ineligible for medical as-
sistance due to not having a satisfactory immigra-
tion status, including through the increased use of 
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provider taxes and intergovernmental transfers to fi-
nance the non-Federal share of expenditures under 
the State Medicaid program for medical assistance 
provided to individuals who are not so ineligible. 
(4) An analysis of— 
(A) the extent to which such noncitizens 
are provided covered outpatient drugs pur-
chased under— 
(i) the Medicaid Drug Rebate Pro-
gram under section 1927 of the Social Se-
curity Act (42 U.S.C. 1396r–8); or 
(ii) the drug discount program under 
section 340B of the Public Health Service 
Act (42 U.S.C. 256b); and 
(B) the effect that the provision to such 
noncitizens of covered outpatient drugs pur-
chased under the programs described in sub-
paragraph (A) has on the average manufacturer 
price (as defined in section 1927(k)(1) of the 
Social Security Act (42 U.S.C. 1396r–8(k)(1))) 
of such drugs, including whether the average 
manufacturer price for such drugs would be 
lower if no drugs purchased under such pro-
grams were provided to such noncitizens. 
Æ 
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