States use taxes on federal providers to fund state level Medicaid, some were avoiding federal requirements by backdooring this tax to pay for illegal immigrants. Also immigrants can just go to the emergency room and have Medicaid cover it that way, or get pregnant.
So you have to read between the lines in articles like this:
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It depends on the context..
States use taxes on federal providers to fund state level Medicaid, some were avoiding federal requirements by backdooring this tax to pay for illegal immigrants. Also immigrants can just go to the emergency room and have Medicaid cover it that way, or get pregnant.
So you have to read between the lines in articles like this:
https://ccf.georgetown.edu/2025/05/21/the-truth-about-medicaid-coverage-for-immigrants-and-the-looming-threats/
So the only lever against this abuse is to remove federal ACA matching.