Sponsors (73)
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Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Strikes the phrase beginning 'an alien' and all that follows in 42 U.S.C. 1395i–2(a)(3) and inserts 'under this section', replacing the prior alien-specific language with a general reference to eligibility under the section.
Strikes the phrase beginning 'an alien' and all that follows in 42 U.S.C. 1395o(a)(2) and inserts 'under this part', removing the prior alien-specific eligibility language and replacing it with a general reference to individuals covered 'under this part'.
Amends paragraph (4) of section 1903(v) to (1) replace subparagraph (A) with text requiring a State to provide medical assistance to individuals lawfully residing in the United States (including specified categories) if they meet eligibility requirements; (2) replace subparagraph (B) to provide that no debt shall accrue under an affidavit of support against any sponsor for assistance provided under subparagraph (A) and that such costs shall not be considered an unreimbursed cost; and (3) make specified textual edits to subparagraph (C) replacing references to 'an election by the State under subparagraph (A)' with 'the application of subparagraph (A)' and related insertions.
Revises subparagraph (P) of section 2107(e)(1) to read: 'Paragraph (4) of section 1903(v) (relating to lawfully present individuals and undocumented immigrants).'
Amends section 1902(a)(10)(A)(ii) by modifying punctuation in existing subclauses and adding a new subclause (XXIV) to include individuals who would be eligible under the State plan (or waiver) if they were U.S. citizens.
Amends section 1905(a) by adjusting punctuation in the matter preceding paragraph (1) and inserting a new clause (xviii) that references individuals described in 1902(a)(10)(A)(ii)(XXIV).
Amends Title XXI by inserting a new section (2112A) that permits a State, via amendment to its State child health plan, to treat individuals without lawful presence as targeted low-income children or targeted low-income pregnant women if they would be included as such were they U.S. citizens.
Amends section 401(a) of the Personal Responsibility and Work Opportunity Reconciliation Act (42 U.S.C. 1611(a)) by adding a sentence that the general prohibition on noncitizen eligibility for federal public benefits does not apply to noncitizens' eligibility under State Medicaid (title XIX) or State child health plans (title XXI) to the extent the State elects eligibility under new 1902(a)(10)(A)(ii)(XXIV) or 2112A.
Amends section 36B of the Internal Revenue Code by modifying subsection (c)(1)(B) (heading and clause (ii)) and striking subsection (e).
Amends section 1402 of the Patient Protection and Affordable Care Act (42 U.S.C. 18071) by striking subsection (e) and redesignating subsection (f) as subsection (e).
And 7 more affected sections...
Introduced June 24, 2025 by Pramila Jayapal · Last progress June 24, 2025
This bill opens more paths to health coverage for immigrants and their families. It requires states to cover people who are lawfully living in the U.S. under Medicaid if they meet the usual income and other rules, and it ends state limits on Medicaid for lawful permanent residents. It also says people the federal government allows to be in the U.S. (including those with deferred action) count as “lawfully present” for ACA marketplace plans, premium tax credits, cost-sharing help, and Medicaid/CHIP. Sponsors won’t be billed for Medicaid costs of the people they support. People in this group get a special marketplace sign-up window shortly after the bill takes effect.
The bill removes ACA rules that blocked many noncitizens from getting premium tax credits and cost-sharing help when they can’t get Medicaid because of their status. It also lets states choose to cover undocumented children, pregnant people, and others through Medicaid and CHIP if they’d qualify based on income and need. It keeps tax-credit access for lawfully present people who still can’t get full Medicaid. Finally, it removes immigration-related barriers to buying into Medicare Parts A and B for lawfully present people.
