Protecting Americans’ Health Care Act of 2026

This bill would repeal several Medicaid provisions previously established under the One Big Beautiful Bill Act. Specifically, it proposes to eliminate requirements for the Medicaid expansion population to participate in work or community service activities and would remove certain restrictions on federal funding for Medicaid and CHIP based on an individual's residency or immigration status. Additionally, the bill would undo upcoming limits on Medicaid provider taxes that were scheduled to take effect in fiscal year 2027.

This bill primarily affects individuals within the Medicaid expansion population, specifically by removing existing requirements for community service or work activities to maintain eligibility. It also impacts non-citizens seeking Medicaid or CHIP services, as it repeals restrictions that would have limited federal payments to specific groups such as lawful permanent residents, Cuban-Haitian entrants, and Compact of Free Association migrants. Additionally, the legislation affects healthcare providers and state governments by repealing upcoming limits on Medicaid provider taxes.

• Repeal of Medicaid work and community service requirements. The bill eliminates provisions from the One Big Beautiful Bill Act that required Medicaid expansion participants to engage in work, community service, or other specific activities to maintain eligibility.
• Removal of Medicaid and CHIP residency and citizenship restrictions. The legislation repeals upcoming restrictions that would have limited federal payments for Medicaid and CHIP services to specific categories of U.S. residents, citizens, and certain legal migrants starting in FY2027.
• Repeal of Medicaid provider tax limitations. The bill removes provisions scheduled to take effect in FY2027 that would have placed general limits on Medicaid provider taxes.

The bill addresses provisions scheduled to take effect in fiscal year 2027, including restrictions on federal payments for Medicaid and CHIP based on residency and citizenship status, as well as new limits on Medicaid provider taxes.

This bill repeals specific Medicaid and Children's Health Insurance Program (CHIP) provisions previously established under the One Big Beautiful Bill Act. Specifically, it removes requirements related to community service and work eligibility for the Medicaid expansion population, eliminates certain residency and citizenship restrictions for federal payments, and lifts limits on Medicaid provider taxes.

The bill aims to repeal specific Medicaid provisions enacted under the One Big Beautiful Bill Act, including requirements for the expansion population to engage in work or community service and restrictions on federal funding for services provided to certain non-citizen residents. Additionally, it seeks to remove upcoming limits on Medicaid provider taxes and restore previous eligibility and funding standards for Medicaid and the Children's Health Insurance Program (CHIP).