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What Does the BBB Say About Medicaid for Illegal Immigrants?

Overview of the BBB and Medicaid Funding for Illegal Immigrants

- Senate passed the BBB today

- Focus on Medicaid funding for illegal immigrants

- Confusion surrounding future plans and funding

Background on Medicaid Funding for Illegal Immigrants

- Federal government does not directly fund Medicaid for illegal immigrants

- Some states use state funds to cover certain illegal immigrants

- California expanded Medicaid (Medi-Cal) to include all low-income immigrants

- This expansion resulted in a significant budget gap for California

California's Budget Changes

- Governor Newsom cut new enrollment for undocumented immigrants in Medi-Cal

- Existing enrolled adults (ages 19-59) will pay a $30 monthly premium starting in 2027

- Newsom's decision contradicts his earlier promise to cover all low-income residents

- A $12 billion deficit influenced these changes, removing pressures on citizen programs

Provisions in the BBB Related to Medicaid

- Two provisions addressed illegal immigrant coverage

- One aimed at cutting federal reimbursement for states funding coverage for illegal immigrants

- Concerns raised on states’ capacity to cover shortfalls without federal support

- California could lose up to $3 billion annually from these cuts

Senate Parliamentarian's Decisions

- Key provisions related to Medicaid funding were removed from the bill

- Decisions were based on what could be approved under reconciliation rules

- Cuts to non-citizen eligibility and funding percentages also eliminated

Current Confusions and Future Considerations

- Unclear effects of the remaining bill section on eligibility for illegal immigrants

- Ongoing complexities in determining potential coverage cuts

- Anticipation for further clarification and explanation of the bill’s impact 

https://hotair.com/john-s-2/2025/07/01/what-does-the-bbb-say-about-medicaid-for-illegal-immigrants-n3804379

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