CMS指出,五个州和特区在联邦医疗补助基金中为无证移民支出了1.35B美元,这违反了联邦法。 Five states and D.C. spent $1.35B in federal Medicaid funds on undocumented immigrants, violating federal law, CMS says.

医疗保健和医疗援助服务中心进行的初步审计发现,5个州和哥伦比亚特区华盛顿在2024年至2025年期间,联邦医疗援助基金为无证移民花费了13亿多美元,加利福尼亚州超过13亿美元。 A preliminary audit by the Centers for Medicare & Medicaid Services found that five states and Washington, D.C., spent over $1.35 billion in federal Medicaid funds on undocumented immigrants between 2024 and 2025, with California accounting for more than $1.3 billion. CMS说,这违反了联邦法律,因为联邦法律限制美国公民和某些合法居民获得医疗补助资金,并计划收回资金。 CMS says this violates federal law, which restricts Medicaid funding to U.S. citizens and certain legal residents, and plans to recover the funds. 审计凸显了目前国家使用联邦卫生美元方面的争议, 特别是通过“供货商税”规定等机制, 有些人认为允许各州将联邦对等基金投入非公民方案。 The audit highlights ongoing disputes over state use of federal health dollars, particularly through mechanisms like the "provider tax" provision, which some argue allow states to funnel federal matching funds into programs for non-citizens. 批评者指出, 虽然联邦法律规定无论移民身份如何, 都规定紧急治疗, 但各州都在利用漏洞, While federal law mandates emergency treatment regardless of immigration status, critics say states are exploiting loopholes, prompting claims of fraud and misuse. 调查结果是在关于移民、联邦开支和获得医疗保健机会的政治辩论加剧的背景下得出的。 The findings come amid heightened political debate over immigration, federal spending, and healthcare access.