No federal payment unless the person is a resident with one of four statuses
What the document says“beginning on October 1, 2026, except as provided in paragraphs (2) and (4), in no event shall payment be made to a State under this section for medical assistance furnished to an individual unless such individual is--”
The section adds a new paragraph (5) to section 1903(v) of the Social Security Act (42 U.S.C. 1396b(v)) barring federal payment to a State from October 1, 2026 for medical assistance to a person unless that person lives in one of the 50 States, the District of Columbia or a territory and is a citizen or national, an alien lawfully admitted for permanent residence, a Cuban or Haitian entrant as defined in section 501(e) of the Refugee Education Assistance Act of 1980, or someone lawfully residing under a Compact of Free Association. Two existing paragraphs are carved out.
What the document actually says“beginning on October 1, 2026, except as provided in paragraphs (2) and (4), in no event shall payment be made to a State under this section for medical assistance furnished to an individual unless such individual is--”
From October 1, 2026 no federal payment is made. That holds unless the person meets the tests below.
The person must live in a state, the capital or a territory. The person must also hold one of four statuses. Two older carve-outs still stand.
No action is recorded against this proposal. That is not evidence that none has been taken, and nobody has yet read it against the record. See what the tracker does not yet cover.