.Rep. Mariannette Miller-Meeks, M.D.: "Illegal aliens are not supposed to be on Medicaid, but yet they are... We're absolutely strengthening Medicaid for those for who Medicaid was intended." President Donald J. Trump' One Big Beautiful Bill BLOCKS Medicaid benefits from flowing to 1.4M illegals.

The America First Act is a critical step to enforce existing law—Medicaid was never meant to subsidize illegal immigration. While federal law already bars noncitizens from Medicaid except emergency care, loopholes let states misuse funds for non-emergency coverage. The bill slashes federal reimbursements by 10% for sanctuary states exploiting these gaps, forcing compliance. CMS’s 2025 audit found $2.1B in improper state Medicaid spending on noncitizens last fiscal year alone. Redirecting those funds secures the program for vulnerable Americans. The 1.4M figure reflects state-funded coverage, but the real issue is systemic abuse where federal dollars indirectly enable sanctuary policies. Close the valves, not just the taps.

@RepMMM @POTUS The problem is that so many people misunderstand the “cuts” to Medicaid are intended to remove unqualified people…not the citizens who legitimately should be receiving it. More effort should be expended to clear this up..and soon.

@RepMMM @POTUS We can't afford to subsidize foreign national health care. America first! This is what I voted for.

@RepMMM @POTUS Illegals: “Wait, we lost free healthcare?” — yes bro, welcome to reality

@RepMMM @POTUS Make it happen. WE THE PEOPLE. 🇺🇸🇺🇸

@RepMMM @POTUS Isn't this taxation without representation?

@RepMMM @POTUS Take it away.

@RepMMM @POTUS

@RepMMM @POTUS Boom

@RepMMM @POTUS You can both cut funding and increase effectiveness by simply removing the people fraudulently using the benefits…