Sponsors (102)
Official title: To amend the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 and an Act to provide for reconciliation pursuant to title II of H. Con. Res. 14 (Public Law 119-21) to provide certain benefits to noncitizens, and for other purposes.
Introduced June 24, 2026 by Pramila Jayapal · Last progress June 24, 2026
The bill expands food and health coverage to many lawfully present noncitizens—reducing hunger and increasing access to care—while raising federal and state costs, creating implementation burdens, and risking short-term disruptions as systems adapt.
Lawfully present noncitizens (including DACA recipients and eligible applicants) and their low-income households regain eligibility for SNAP, Medicaid/CHIP, and a special marketplace premium tax credit rule (including those at ≤100% FPL), increasing food security and access to affordable health coverage for children, families, and low-income adults.
Certain lawfully present noncitizen seniors who were previously excluded regain access to Medicare benefits, increasing health coverage for older noncitizens.
Eligible low-income noncitizen households can claim marketplace premium subsidies (special premium tax credit rule), lowering net premiums and making private coverage more affordable.
Federal taxpayers may face meaningful increases in spending because SNAP, Medicaid/CHIP, Medicare, and marketplace subsidy costs will expand as more lawfully present noncitizens become eligible.
State governments will incur administrative and implementation costs (system updates, outreach, reporting) and face a compressed 180‑day guidance timeline to conform to the changes.
Beneficiaries and providers may experience temporary uncertainty and service disruptions during the transition while agencies issue guidance, rescind prior unobligated balances, and update operations.
Based on analysis of 2 sections of legislative text.
Repeals statutory immigration-based limits and restores broader noncitizen eligibility for SNAP, Medicaid/CHIP, and Medicare; updates statutory terminology to “noncitizen.”
Removes many federal restrictions that limit noncitizens from receiving major safety-net programs and restores earlier eligibility rules for SNAP, Medicaid/CHIP, and Medicare. It updates federal immigration terminology across the relevant statutes from “alien” to “noncitizen,” expands and clarifies which lawfully present noncitizens may receive benefits, and rescinds several recent limits enacted by Public Law 119–21. The bill changes statutory eligibility language, undoes specific coverage limits for Medicare and Medicaid/CHIP, directs that child nutrition and SNAP rules not be applied permissively against noncitizens, and rescinds certain previously set aside unobligated balances connected to narrowed Medicaid/CHIP eligibility. Agencies that administer benefits (HHS/CMS, USDA, SSA) and states will implement the restored eligibility rules under existing program authorities.