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<blockquote data-quote="ThxOne" data-source="post: 8914551" data-attributes="member: 675210">Under ObamaCare, states can claim higher matching rates for able-bodied adults—even when they are in the country illegally and only qualify for emergency services.13 This means states that expanded ObamaCare receive an unusually generous flow of federal dollars to cover these costs, while receiving a comparatively worse deal for covering truly needy citizens.14 In 2024, for example, California received $2.31 in federal funds for every state dollar spent on emergency Medicaid for illegal aliens, compared to just $1.07 in federal funds for every state dollar spent on trulyneedy enrollees.15This disparity reveals a perverse incentive structure: States can secure more federal funding by directing spending toward emergency care for illegal aliens than by investing in services for children with developmental disabilities.Congress addressed this distortion through OBBB.16 OBBB corrected the match-rate loophole by limiting federal reimbursement for emergency Medicaid for illegal aliens to the state’s normal Medicaid match rate, rather than the enhanced ObamaCare rate.17 By making this change, OBBB ensures that states no longer profit from prioritizing emergency care for illegal aliens over services for needy citizens, restoring fairness and aligning federal funding with the program’soriginal intent.</blockquote>

[QUOTE="ThxOne, post: 8914551, member: 675210"] Under ObamaCare, states can claim higher matching rates for able-bodied adults—even when they are in the country illegally and only qualify for emergency services.13 This means states that expanded ObamaCare receive an unusually generous flow of federal dollars to cover these costs, while receiving a comparatively worse deal for covering truly needy citizens.14 In 2024, for example, California received $2.31 in federal funds for every state dollar spent on emergency Medicaid for illegal aliens, compared to just $1.07 in federal funds for every state dollar spent on truly needy enrollees.15 This disparity reveals a perverse incentive structure: States can secure more federal funding by directing spending toward emergency care for illegal aliens than by investing in services for children with developmental disabilities. Congress addressed this distortion through OBBB.16 OBBB corrected the match-rate loophole by limiting federal reimbursement for emergency Medicaid for illegal aliens to the state’s normal Medicaid match rate, rather than the enhanced ObamaCare rate.17 By making this change, OBBB ensures that states no longer profit from prioritizing emergency care for illegal aliens over services for needy citizens, restoring fairness and aligning federal funding with the program’s original intent. [/QUOTE]

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