What does REMOVING BARRIERS TO HEALTH COVERAGE FOR LAWFULLY RESIDING of Health Equity and Access under the Law for Immigrant Families Act of 2025 do?

This section amends the Social Security Act to remove barriers to health coverage for lawfully residing individuals under Medicaid and CHIP. It modifies Section 1903(v)(4) to allow states to provide Medicaid to lawfully residing individuals, including those with deferred action, regardless of certain restrictions from the Personal Responsibility and Work Opportunity Reconciliation Act of 1996. The amendment prevents the accrual of debt under affidavits of support due to Medicaid assistance provided to these individuals. It modifies Section 2107(e)(1) of the Social Security Act to incorporate references to lawfully present individuals in the context of CHIP. The changes generally take effect 90 days after enactment. States requiring legislation (other than appropriations) to comply with the amendments have a grace period until the first quarter after the close of the first regular session of their state legislature following enactment.

What does CONSISTENCY IN HEALTH INSURANCE COVERAGE FOR INDIVIDUALS WITH of Health Equity and Access under the Law for Immigrant Families Act of 2025 do?

This section establishes that individuals with Federally authorized presence in the United States are considered lawfully present for eligibility purposes under certain health insurance provisions. The provisions affected include eligibility for Exchange coverage, reduced cost-sharing, premium subsidies, and Medicaid/CHIP. Specifically, sections 1411, 1402, 36B of the Affordable Care Act and Internal Revenue Code, and Titles XIX and XXI of the Social Security Act are impacted. The changes take effect on the date of enactment of this Act. A special enrollment period will be established by the Secretary of Health and Human Services for individuals granted Federally authorized presence before the first annual open enrollment period following enactment, allowing them to enroll in qualified health plans and qualify for subsidies. For individuals with Federally authorized presence as of the enactment date, the special enrollment period must begin within 90 days of enactment.

What does REMOVING CITIZENSHIP AND IMMIGRATION BARRIERS TO ACCESS TO of Health Equity and Access under the Law for Immigrant Families Act of 2025 do?

This section amends the Internal Revenue Code of 1986 and the Patient Protection and Affordable Care Act to modify eligibility for premium tax credits, cost-sharing reductions, and the Basic Health Program. Specifically, it removes restrictions related to immigration status for accessing affordable health care under the ACA. The amendments modify provisions related to federal payments and the requirement to maintain minimum essential coverage. Several sections are amended to remove or redesignate paragraphs and subsections. The changes apply to years, plan years, and taxable years beginning after December 31, 2025.

What does STATE OPTION TO EXPAND MEDICAID AND CHIP TO INDIVIDUALS WITHOUT of Health Equity and Access under the Law for Immigrant Families Act of 2025 do?

This section modifies the Social Security Act to allow states the option to expand Medicaid and CHIP eligibility to individuals without lawful presence. It amends Section 1902(a)(10)(A)(ii) of the Social Security Act to include individuals who would be eligible under a state plan or waiver if they were U.S. citizens. It amends Section 1905(a) of the Social Security Act to conform to the changes made in Section 1902(a)(10)(A)(ii). It adds a new section (2112A) to Title XXI of the Social Security Act (CHIP) allowing states to treat individuals without lawful presence as targeted low-income children or pregnant women if they would otherwise qualify if they were citizens. It amends Section 401(a) of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 to clarify that the eligibility prohibition does not apply to noncitizens if a state has elected to make them eligible under the amended Medicaid or CHIP provisions.

What does PRESERVING ACCESS TO COVERAGE. of Health Equity and Access under the Law for Immigrant Families Act of 2025 do?

This section aims to preserve access to coverage for lawfully present noncitizens. It prevents this Act from restricting lawfully present noncitizens ineligible for full Medicaid benefits from securing a credit they would otherwise be eligible for. The credit is based on section 36B(c)(1)(B) of the Internal Revenue Code of 1986 and Medicaid provisions for lawfully present noncitizens as they existed before the Act's enactment. “Full benefits” are defined as medical assistance equivalent to what is available under section 1902(a)(10)(A)(i) of the Social Security Act.

What does REMOVING BARRIERS TO HEALTH COVERAGE FOR LAWFULLY PRESENT of Health Equity and Access under the Law for Immigrant Families Act of 2025 do?

This section amends sections 1818(a)(3) and 1836(a)(2) of the Social Security Act. The amendments strike references to 'an alien' and replace them with a definition of 'lawfully present'. The definition of 'lawfully present' includes individuals with approved or pending applications for deferred action or other Federally authorized presence. The term 'lawfully present' includes immigration categories treated as such for purposes of title XIX (Medicaid) as amended by section 3.

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Health Equity and Access under the Law for Immigrant Families Act of 2025

Q: What does Preamble of Health Equity and Access under the Law for Immigrant Families Act of 2025 do?

This bill, formally titled 'To expand access to health insurance coverage for immigrants and their families by removing legal and policy barriers to health insurance coverage, and for other purposes,' aims to expand health insurance coverage for immigrants and their families.

Q: What does SHORT TITLE. of Health Equity and Access under the Law for Immigrant Families Act of 2025 do?

This bill is formally titled the Health Equity and Access under the Law for Immigrant Families Act of 2025.

Q: What does PURPOSE. of Health Equity and Access under the Law for Immigrant Families Act of 2025 do?

This Act aims to ensure eligibility for Federally funded healthcare programs for all individuals lawfully present in the United States. The Act seeks to facilitate access to health insurance coverage through health insurance exchanges for undocumented individuals. It intends to remove state authority to restrict Medicaid eligibility for lawful permanent residents. The Act also aims to eliminate other barriers to accessing Medicaid, CHIP, and other medical assistance.

Last updated: 6/24/2025 · Introduced: 6/24/2025

Author: Cory Booker (D-NJ)

TL;DR (AI)

This bill expands access to health insurance coverage for lawfully residing immigrants by removing restrictions in Medicaid and CHIP eligibility, including those with deferred action.
It clarifies that individuals with Federally authorized presence in the United States are eligible for Affordable Care Act (ACA) subsidies, reduced cost-sharing, and Medicaid/CHIP.
The bill removes immigration-related barriers to accessing premium tax credits, cost-sharing reductions, and the Basic Health Program under the ACA.
States will have the option to expand Medicaid and CHIP eligibility to individuals without lawful presence, treating them similarly to U.S. citizens for coverage purposes.
The Act preserves existing access to health coverage credits for lawfully present noncitizens who are ineligible for full Medicaid benefits.

119th Congressin committeeHR. 4104(In Committee)Official page

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