,i  #aafth ,,congress  #ast ,session    
,h4 ,r4 #bhef  ,,in ,,the ,,house ,,of  
,,representatives  ,may #ba1 #bjai,mr4  
,hudson 7for himself1 ,mr4 ,biggs1 ,mr4 
,gaetz1 ,mr4 ,gosar1 ,mr4 ,david ,p4    
,roe of ,tennessee1 ,mr4 ,meuser1 ,mr4  
,mullin1 ,mr4 ,grothman1 ,mr4           
,luetkemeyer1 ,mr4 ,johnson of          
,louisiana1 ,mr4 ,budd1 ,mr4 ,carter of 
,georgia1 ,mr4 ,meadows1 ,mr4 ,duncan1  
,mr4 ,banks1 ,mr4 ,hunter1 ,mr4 ,brooks 
of ,alabama1 ,mr4 ,buck1 ,mr4 ,gibbs1   
,mr4 ,norman1 ,mr4 ,wright1 ,mr4        
,gooden1 ,mr4 ,abraham1 ,mr4 ,weber of  
,texas1 ,mr4 ,harris1 ,mr4 ,la,malfa1   
,mr4 ,joyce of ,pennsylvania1 ,mr4      
,mc,clintock1 and ,mr4 ,kelly of        
,mississippi7 introduced the following  
bill2 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        

unauthorized immigrants4  #a4 ,short    
title ,this ,act may be cited as the    
,protect ,medicaid ,act4  #b4           
,prohibiting ,federal ,medicaid funding 
for the administrative costs of         
providing health benefits to individuals
 who are unauthorized immigrants        
,section #aijc7;i7 of the ,social       
,security ,act 7#db ,u4,s4,c4           
#acif;b7i77 is amended--  7#a7 in       
paragraph 7#bf71 by striking 2 or and   
inserting a semicolon2  7#b7 in         
paragraph 7#bg71 by striking the period 
at the end and inserting 2 or2 and  7#c7
 by inserting after paragraph 7#bg7 the 
following new paragraph3  7#bh7 with    
respect to any amounts expended for the 
administration of a ,state program that 
provides health benefits to noncitizens 
who are ineligible for medical          
assistance under this title on the basis
 of not having a satisfactory           
immigration status 7as defined in       
section #aacg7;d77#a77;,b77iii77 7except
 that such prohibition shall not be     

construed as prohibiting payment under  
the preceding provisions of this section
 for costs attributable to the          
establishment or operation of a system  
designed to ensure compliance with such 
prohibition74  4  #c4 ,inspector        
,general report ,not later than #ahj    
days after the date of enactment of this
 ,act1 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 ineligible on the basis of      
immigration status for medical          
assistance under title ,,xix of the     
,social ,security ,act 7#db ,u4,s4,c4   
#acif et seq473  7#a7 ,how such ,states 
separate amounts expended on the        
administrative costs related to the     
,state's ,medicaid program and amounts  
expended on administrative costs related
 to providing health benefits to such   
noncitizens4  7#b7 ,the types of        

procedures1 protocols1 or systems 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 compliance4  7#c7 ,a        
description of ,states' methods of      
financing ,state programs that provide  
health benefits to noncitizens who are  
ineligible for medical assistance due to
 not having a satisfactory immigration  
status1 including through the increased 
use of provider taxes and               
intergovernmental transfers to finance  
the non-,federal share of expenditures  
under the ,state ,medicaid program for  
medical assistance provided to          
individuals who are not so ineligible4  
7#d7 ,an analysis of-- 7,a7 the extent  
to which such noncitizens are provided  
covered outpatient drugs purchased      
under--  7i7 the ,medicaid ,drug ,rebate
 ,program under section #aibg of the    
,social ,security ,act 7#db ,u4,s4,c4   

#acifr-#h72 or  7ii7 the drug discount  
program under section #cdj;,b of the    
,public ,health ,service ,act 7#db      
,u4,s4,c4 #bef;b72 and  7,b7 the effect 
that the provision to such noncitizens  
of covered outpatient drugs purchased   
under the programs described in         
subparagraph 7,a7 has on the average    
manufacturer price 7as defined in       
section #aibg7k77#a7 of the ,social     
,security ,act 7#db ,u4,s4,c4           
#acifr-#h7k77#a777 of such drugs1       
including whether the average           
manufacturer price for such drugs would 
be lower if no drugs purchased under    
such programs were provided to such     
noncitizens4