CLEAN Act

Term Dictionary

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The gist

The Criminals' Loss of Eligibility and Assistance Networks (CLEAN) Act strips registered sex offenders of federal health insurance subsidies and Medicaid coverage.

Who wins, who loses

Wins: lawmakers seeking tougher penalties for sex offenders; taxpayers opposed to subsidizing their healthcare.

Loses: roughly 800,000 registered offenders losing coverage; spouses filing jointly; hospitals absorbing more uncompensated care.

What it does

Amends Internal Revenue Code Section 36B to deny ACA premium tax credits if the filer or spouse is on the registry.

Blocks federal Medicaid matching funds for any registered sex offender under the Adam Walsh Act definition.

Lets states choose to drop these individuals from Medicaid rolls entirely.

Takes effect for tax years and Medicaid enrollments after enactment.

Why should I care?

Supporters say convicted sex offenders shouldn't get taxpayer-funded healthcare and the bill adds another consequence for serious crimes. Critics argue denying healthcare creates public health risks, punishes spouses jointly filing, and may violate equal protection by singling out one criminal category. An alternative: restrict only those still on parole or probation. Where do you land? Vote below and use "Tell Your Rep" to make sure your voice reaches Congress.

What do you think about this bill?

Vote to see who sponsored it!

Bill ID: hr7453-119
Congress Session: 119
Date Processed: 2026-07-09 15:53:48 (UTC)
Introduced: 2026-02-09
Status: Introduced