,i  #aaith ,,congress  #ast ,session    
,h4 ,r4 #dchd  ,,in ,,the ,,house ,,of  
,,representatives  ,july #ad1 #bjbe,mr4 
,steube introduced the following bill2  
which was referred to the ,committee on 
,energy and ,commerce  ,a ,,bill  ,to   
require immediate changes to ,medicaid  
relating to alien eligibility and       
payments to ,medicaid expansion ,states 
that furnish health care to certain     
aliens4  #a4 ,short title ,this ,act may
 be cited as the ,excluding ,illegal    
,aliens from ,medicaid ,act4  #b4       
,change of effective date for alien     
,medicaid eligibility  7a7 ,in general  
,section #aijc7v77#e7 of the ,social    
,security ,act 7#db ,u4,s4,c4           
#acif;b7v77#e771 as added by section    
#gaaji7;a7 of an ,act to provide for    
reconciliation pursuant to title ,,ii of
 ,h4 ,con4 ,res4 #ad 7,public ,law      
#aai-ba71 is amended by striking        
,october #a1 #bjbf and inserting ,july  
#d1 #bjbe4  7b7 ,effective date ,the    
amendment made by subsection 7a7 shall  

take effect as if included in the       
enactment of section #gaaji of an ,act  
to provide for reconciliation pursuant  
to title ,,ii of ,h4 ,con4 ,res4 #ad    
7,public ,law #aai-ba74  #c4 ,expansion 
,,fmap for certain ,states providing    
payments for health care furnished to   
certain individuals ,section #aije of   
the ,social ,security ,act 7#db         
,u4,s4,c4 #acif;d7 is amended-- 7#a7 in 
subsection 7y7--  7,a7 in paragraph     
7#a77;,e71 by inserting 7or1 for        
calendar quarters beginning on or after 
,july #d1 #bjbe1 in the case such ,state
 is a specified ,state with respect to  
such calendar quarter1 the ,federal     
medical assistance percentage determined
 under subsection 7b7 for such ,state7  
after thereafter2 and  7,b7 in paragraph
 7#b71 by adding at the end the         
following new subparagraph3  7,c7       
,specified ,state ,the term specified   
,state means1 with respect to a quarter1
 a ,state that-- 7i7 provides any form  
of financial assistance from a ,state   

general fund during such quarter1 in    
whole or in part1 whether or not made   
under a ,state plan 7or waiver of such  
plan7 under this title or under another 
program established by the ,state1 to or
 on behalf of an alien who is not a     
qualified alien and is not a child or   
pregnant woman who is lawfully residing 
in the ,united ,states and eligible for 
medical assistance pursuant to section  
#aijc7v77#d7 or for child health        
assistance or pregnancy-related         
assistance pursuant to section          
#bajg7;e77#a77,q71 for the purchasing of
 health insurance coverage 7as defined  
in section #bgia7;b77#a7 of the ,public 
,health ,service ,act7 for an alien who 
is not a qualified alien and is not such
 a child or pregnant woman2 or  7ii7    
provides any form of comprehensive      
health benefits coverage1 except such   
coverage required by ,federal law1      
during such quarter1 whether or not     
under a ,state plan 7or waiver of such  
plan7 under this title or under another 

program established by the ,state1 and  
regardless of the source of funding for 
such coverage1 to an alien who is not a 
qualified alien and is not such a child 
or pregnant woman4  7,d7 ,immigration   
terms  7i7 ,alien ,the term alien has   
the meaning given such term in section  
#aja7;a7 of the ,immigration and        
,nationality ,act4  7ii7 ,qualified     
alien ,the term qualified alien has the 
meaning given such term in section #dca 
of the ,personal ,responsibility and    
,work ,opportunity ,reconciliation ,act 
of #aiif1 except that the references to 
7in the opinion of the agency providing 
such benefits7 in subsection 7c7 of such
 section #dca shall be treated as       
references to 7in the opinion of the    
,state in which such comprehensive      
health benefits coverage or such        
financial assistance is provided1 as    
applicable74  2 and  7#b7 in subsection 
7z77#b7--  7,a7 in subparagraph 7,a71 by
 striking for such year and inserting   
for such quarter2 and  7,b7 in          

subparagraph 7,b77i7--  7i7 in the      
matter preceding subclause 7,i71 by     
striking for a year and inserting for a 
calendar quarter in a year2 and  7ii7 in
 subclause 7,,ii71 by striking for the  
year and inserting for the quarter for  
the ,state4