Proposed Medicaid Federal Match Penalty for States that Cover Undocumented Immigrants with Their Own Funds: State-by-State Estimates

This analysis examines the potential impacts of a provision in the House reconciliation bill that proposes reducing the federal matching rate for the Affordable Care Act (ACA) Medicaid expansion population from 90% to 80% for states that either provide health coverage or financial assistance to purchase health coverage to individuals who are not lawfully residing in the United States.

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