Senate Rejects Big, Beautiful Bill Measure to Remove Illegal Aliens from Medicaid
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In a 56-44 vote on Monday, the United States Senate rejected a measure on President Donald Trump’s Big, Beautiful Bill that would have removed millions of illegal aliens from Medicaid.
As Breitbart News
reported, on Friday, Senate Parliamentarian Elizabeth MacDonough ruled that “various immigration enforcement policies cannot” be included in Trump’s Big, Beautiful Bill, and that several “immigration enforcement and other provisions” would need to receive 60 votes in order to be included in the bill.
In a 56-44 vote, the Senate rejected a measure on the Big, Beautiful Bill that would have removed illegal aliens from Medicaid.
www.breitbart.com
....it made the final bill.....
Senator Eric Schmitt
@SenEricSchmitt
1hr
(my emp)
The Big Beautiful Bill kicks 1.4 MILLION illegal immigrants off Medicaid.
For too long, Americans have been paying for the welfare of people who shouldn't even be in our country.
Today, the Senate voted to end that.
And yes—this DID make it into the final draft of the bill.
Yesterday, there were a lot of rumors floating around about the ban on Medicaid for illegal aliens being stripped from the bill.
Thankfully, that's not true. It's very much in the bill we just passed.
You can look it up below. Page 602. Section 77109.
Here's where the rumor came from: During yesterday's vote-a-rama, an amendment banning Medicaid for illegal immigrants was voted down.
The clip of that vote started circulating online—and folks took that to mean that the provision had been stripped from the bill altogether.
But that was just one of many "messaging amendments," designed to force Democrats to vote against specific provisions—in this case, a ban on some Medicaid funding for illegal aliens who commit heinous crimes—on the record.
It was meant to show the public how radical they are.
The ban itself was ALREADY in the bill. It was never taken out.
And it wasn't just a ban on some Medicaid for illegal immigrants who commit heinous crimes—it applies to ALL Medicaid for ALL illegal immigrants. (And most noncitizens generally).
The bill we passed actually goes much further—beyond banning Medicaid for 1.4 million illegal aliens, it:
• Requires states to verify citizenship status before providing coverage
• Bans automatic Medicaid enrollment for children of illegal aliens
• Excludes DACA from Medicaid
According to the Congressional Budget Office, roughly 1.4 million illegal immigrants are currently on Medicaid, despite the fact that they don't meet federal enrollment requirements—because blue states have expanded their (federally funded) Medicaid programs to include them.
As of April 2025, 14 states plus Washington, D.C. offer government healthcare to people "regardless of immigration status."
Seven states (CA, CO, IL, MN, NY, OR, WA) plus D.C. offer government healthcare to adults (i.e., not just children) "regardless of immigration status."
The Big Beautiful Bill ends that arrangement by restricting Medicaid eligibility.
According to the official data from the CBO (see below), that kicks a whopping 1.4 million illegal immigrants off the Medicaid rolls.
We're not talking about a few bucks here and there. This could cost blue states tens of billions of dollars.
A lot of these states have serious budget problems already. They're going to have to choose between their addiction to mass migration and averting financial collapse.
That means blue states are left with a choice: Either send your illegal immigrants home, or you're going to be paying their bills yourself.
It's easy when you're doing it on the American taxpayer's dime. It's a lot tougher when it's all coming from your own constituents.
So to reiterate: The "ban Medicaid for illegal immigrants" amendment failed because it didn't reach the 60-vote threshold—but the original ban was already in the bill.
The bill that the Senate just passed.
A massive victory for America First.