Part of President Donald Trump‘s budget legislation, the “Big Beautiful Bill,” will seek to punish the 14 states that currently offer health coverage to people in the U.S. regardless of immigration status, including undocumented migrants.
The 14 states, most of which are Democratic-led, would see the federal Medicaid matching rate for the Affordable Care Act (ACA) expansion in their states cut from 90 percent to 80 percent, ramping up how much they would have to pay to run their service.
Why It Matters
Immigrants without legal status typically do not qualify for federal benefits, however, more than a dozen states offer various forms of health coverage to undocumented migrants.
While advocates of such services argue these programs promote public health, reduce long-term costs, and align with moral obligations to care for vulnerable populations, critics contend that such efforts strain budgets and could incentivize illegal immigration.
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