Five states and Washington, D.C., funneled more than $1.35 billion in federal taxpayer Medicaid funding to illegals, according to a preliminary audit of the program completed by the Centers for Medicare and Medicaid Services (CMS).
CMS Administrator Dr. Mehemet Oz posted the results of the preliminary audit on social media showing California, D.C., Illinois, Washington, Colorado, and Oregon spent millions each on illegals, with California spending the bulk, topping over $1.3 billion alone.
That money, according to Oz, was spent “just in the last few months.”
The left constantly claims this does not, or even cannot, happen because it is against federal law to use programs like Medicaid — something meant for Americans — for illegals, but that small sample of states shows that states are defrauding the American people out of their own programs to the tune of billions of dollars.
That claim is even more spurious considering the Democrats are only days away from breaking the all-time longest government shutdown record because they care more about funding health care for illegals than citizens of their own country.
“Some want to deny that illegal immigrants are receiving Medicaid. Others insist it’s illegal for Medicaid to cover illegal immigrants. And others accurately point out that hospitals can provide emergency services to illegal immigrants under the program,” Oz said, noting CMS is intending to have the money returned to them.
States share Medicaid funding responsibilities with the federal government, and they administer the program independently. The law does not prohibit the states from using their own money to pay for illegals, just federal funding. (This exception provides a back door for federal tax dollars to de facto fund illegals, as money is fungible.)
According to Oz, Democrats are so zealous about giving American money to illegals that even that massive loophole was not enough, stating, “that didn’t stop Democrats from going even further by breaking federal law to give illegal immigrants federal Medicaid dollars meant for American citizens.”
“Whether willful or not, the states’ conduct highlights a terrifying reality: American taxpayers have been footing the bill for illegal immigrants’ Medicaid coverage, despite many Democrats and the media insisting otherwise,” he added.
The illegal immigrant burden on the health care system is massive, and it takes several different forms. Until the “One Big Beautiful Bill” (OBBB) was signed into law earlier this year, Medicaid providing care for foreigners added to that burden.
However, as Oz points out, emergency rooms are required by federal law to treat anyone, no matter their financial circumstances or immigration status, because of the Emergency Medical Treatment and Labor Act (EMTALA).
Immigrations and Customs Enforcement (ICE) operations seemed to have alleviated some of the pressure from certain emergency rooms notorious for being abused by illegal aliens, as The Federalist reported, but Dr. Jared Ross, an emergency room doctor, said that illegals being kicked off Medicaid from the OBBB could have the unintended consequence of turning them toward emergency rooms instead of going to general practitioners using insurance.
Reforms in the OBBB are necessary to stop American taxpayers and communities from having to deal with the burden illegal aliens put on their health programs and institutions, but another major avenue of reform will be altering EMTALA to limit illegal immigrants’ capacity to abuse the system.
Breccan F. Thies is the White House correspondent for The Federalist. He previously covered education and culture issues for the Washington Examiner and Breitbart News. He holds a degree from the University of Virginia and is a 2022 Claremont Institute Publius Fellow. You can follow him on X: @BreccanFThies.














