Despite federal bars on entitlements for unauthorized immigrants, blue states finance coverage using provider taxes and Medicaid waivers that attract federal matching dollars and lump‑sum grants to hospitals. The shutdown fight over the One Big Beautiful Bill trims only a niche piece of these channels, leaving most indirect subsidies intact.
— This reframes the budget showdown and immigrant‑care debate around the state–federal workarounds that actually move money, not just headline eligibility rules.
Chris Pope
2025.10.02
100% relevant
California’s $5 billion insurer tax leveraged for federal match and states’ 'population health' Medicaid waivers funding hospital systems irrespective of immigration status.
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