Medical Xpress October 14, 2025
Authors affiliated with Emory University, the Lown Institute, the University of Colorado Anschutz Medical Campus, and Harvard T. H. Chan School of Public Health report that emergency Medicaid represented only a small share of state Medicaid spending in 2022, with higher spending concentrated in states with larger undocumented populations.
Federal law excludes undocumented immigrants from comprehensive Medicaid, Medicare, and ACA Marketplace coverage. Emergency Medicaid operates as a limited benefit for immigrants that covers stabilization for serious conditions and commonly includes labor and delivery, with some states also covering dialysis and cancer treatment.
The 2025 federal budget reconciliation law contains significant cuts to Medicaid that extend far beyond emergency Medicaid for immigrants. While the law does affect federal payments for emergency...







