The GOP Obamacare reform legislation slated for a vote in the Senate on Thursday includes two provisions that would make it cost-prohibitive for states to provide Medicaid to low-income illegal immigrants, even without using federal dollars.

The bill introduced by Sens. Mike Crapo (R-ID) and Bill Cassidy (R-LA), which is aimed at preventing Affordable Care Act enrollees from seeing major premium hikes from the expiration of added subsidies, includes two immigration-related provisions from the House’s version of the Republican One Big Beautiful Bill Act that did not survive Senate scrutiny this summer.