A vote to end the government shutdown hours after it began failed Wednesday, as Democrats in the Senate held firm to the party’s demands to fund health care subsidies that President Donald Trump and Republicans refuse to provide....
Health care demands: Democrats want the health care subsidies extended now, for Republicans to reverse the Medicaid cuts that were enacted over the summer, and for the White House to promise not to rescind congressional spending. Republicans say there’s still time to negotiate on health care this year, but stopgap funding for the government is the priority. Republican claims that Democrats want to provide free health care to immigrants who are in the U.S. illegally are false.
If you click through the "are false" link you get a 10/1/25 AP news story that almost says that.
But immigrants in the U.S. illegally are not eligible for any federal health care programs, including insurance provided through the Affordable Care Act and Medicaid.
Hospitals do receive Medicaid reimbursements — which would be reduced under Trump’s mega-bill — for emergency care that they are obligated to provide to people who meet other Medicaid eligibility requirements, but do not have an eligible immigration status, according to KFF, a nonprofit health policy research polling and news organization. This spending accounted for less than 1% of total Medicaid spending between fiscal years 2017 and 2023.
So, not direct aid but hospitals treat illegals knowing they will get reimbursed. The requirement that all hospitals that have ever received national government assistance must provide emergency medical care is a humane requirement. At the same time, knowing that you will receive such care has to act as an encouragement to stay here. That the amount of spending is small really means somewhere below $8.8 billion. In the larger scheme of things this is not huge. But we are running a huge deficit. Americans are fairly sympathetic to those in need. That includes those in need who have a right to be here.