CLEAN Act
Summary
What This Bill Does
The bill amends Internal Revenue Code section 36B so no refundable premium tax credit is allowed if an individual, or the individual's spouse on a joint return, is a sex offender as of the last day of the taxable year. That tax change applies to taxable years ending after enactment. It also amends Social Security Act section 1903(i) to deny federal Medicaid matching payments for medical assistance spent on an individual who is a sex offender under the Adam Walsh Child Protection and Safety Act definition. A state may elect not to make Medicaid medical assistance available to such individuals, and the Medicaid changes apply to people enrolled or reenrolled under a state plan or waiver on or after enactment.
Who Benefits and How
Federal taxpayers benefit from reduced federal premium-tax-credit and Medicaid matching expenditures for the covered population. State Medicaid programs gain express authority to deny medical assistance to covered individuals if they choose.
Who Bears the Burden and How
Individuals classified as sex offenders lose eligibility for section 36B premium tax credits and may lose Medicaid medical assistance if their state elects denial. State Medicaid agencies, IRS, CMS, and health insurance marketplaces must identify covered individuals, adjust eligibility, and administer the new federal funding restriction.
Key Provisions
- Denies section 36B premium tax credits to individuals, or joint-return spouses, who are sex offenders as of the last day of the taxable year.
- Bars federal Medicaid matching funds for medical assistance spent on covered sex offenders.
- Allows states to elect not to provide Medicaid medical assistance to covered individuals.
- Applies the tax-credit change to taxable years ending after enactment and the Medicaid change to people enrolled or reenrolled after enactment.
Evidence Chain:
This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.
At a Glance
What This Bill Does
Denies Affordable Care Act premium tax credits and federal Medicaid matching funds for individuals who are sex offenders under the Adam Walsh Act definition, while allowing states to withhold Medicaid assistance from those individuals.
Key Policy Areas
Healthcare, Tax, Medicaid
Primary Purpose
Denies Affordable Care Act premium tax credits and federal Medicaid matching funds for individuals who are sex offenders under the Adam Walsh Act definition, while allowing states to withhold Medicaid assistance from those individuals.
Policy Domains
Substantive provisions
Identified Gains
- Federal taxpayers
- State Medicaid programs
Identified Costs
- Individuals classified as sex offenders
- Internal Revenue Service
- Centers for Medicare and Medicaid Services
- State Medicaid agencies
- Health insurance marketplaces
Legislative Progress
In CommitteeReferred to the Committee on Ways and Means, and in …
Introduced in House
Mr. Steube introduced the following bill; which was referred to …
Stakeholder Effects
cui bono?How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.
Centers for Medicare and Medicaid Services, Internal Revenue Service
Bill Structure & Actor Mappings
Who is "The Secretary" in each section?
- "cms"
- → Centers for Medicare and Medicaid Services
- "irs"
- → Internal Revenue Service
Key Definitions
Terms defined in this bill
An individual meeting the Adam Walsh Child Protection and Safety Act section 111 definition.
We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.
Learn more about our methodology