This part limits federal Medicaid payment to people with certain status. From October 1, 2026 a person must be a resident and hold one of four statuses. The same rule carries into children's health cover.
The document says “shall not”Who acts: Secretary of Health and Human ServicesHow: statuteSec. 71109 in the PDF
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--”
That sentence, in plain words
From October 1, 2026 no federal payment is made. That holds unless the person meets the tests below.
What this is about
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.
“Section 1903(v)(5) (relating to payments for medical assistance furnished to aliens), except in relation to payments for services provided under section 2105(a)(1)(D)(ii).”
The section inserts a new subparagraph into section 2107(e)(1) of the Social Security Act applying the new bar to the Children's Health Insurance Program, except for payments for services under section 2105(a)(1)(D)(ii), and appropriates $15,000,000 for fiscal year 2026 to the Administrator of the Centers for Medicare & Medicaid Services, to remain available until expended.
What the document actually says
“Section 1903(v)(5) (relating to payments for medical assistance furnished to aliens), except in relation to payments for services provided under section 2105(a)(1)(D)(ii).”
That sentence, in plain words
The new bar is added to a list for children's health cover. One kind of payment is carved out.
What this is about
That carve-out is named by section number. The agency also gets $15 million for fiscal year 2026. The money stays there until spent.
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.
Each distinct thing the section does: bar federal payment except for the named residents and statuses, carry the rule into CHIP with its exception, and appropriate implementation funding.
The redesignations in the CHIP subsection that make room for the new item.
The section works by amending sections 1903(v) and 2107(e)(1) of the Social Security Act and points to the Immigration and Nationality Act, the Refugee Education Assistance Act of 1980 and the Personal Responsibility and Work Opportunity Reconciliation Act of 1996, none of which is indexed here.
