# 119-hr-4104: Health Equity and Access under the Law for Immigrant Families Act of 2025

119-hr-4104, Health Equity and Access under the Law for Immigrant Families Act of 2025, is a 119th Congress bill sponsored by Rep. Jayapal, Pramila [D-WA-7] (D-WA); status introduced; PRIA reads it as touching household money (as of 2026-10-21).

- Canonical: https://policyrisk.com/legislation/119-hr-4104
- As of: 2026-10-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-4104
- Congress: 119
- Title: Health Equity and Access under the Law for Immigrant Families Act of 2025
- Status: introduced
- Introduced: 2025-06-24
- Sponsor: Rep. Jayapal, Pramila [D-WA-7] (D-WA)
- Cosponsors: 87
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-10-21

## Summary

**Expands federal health coverage and Marketplace subsidies for immigrants by removing status-based barriers across Medicaid, CHIP, the ACA exchanges, and Medicare.** The bill would align immigration categories used by health programs so many lawfully present people can access the same benefits and subsidies as citizens.

## Cosponsors (87)

- Rep. Barragán, Nanette Diaz [D-CA-44] (D-CA), 2025-06-24T00:00:00.000Z
- Rep. Balint, Becca [D-VT-At Large] (D-VT), 2025-06-24T00:00:00.000Z
- Rep. Beyer, Donald S. [D-VA-8] (D-VA), 2025-06-24T00:00:00.000Z
- Rep. Bonamici, Suzanne [D-OR-1] (D-OR), 2025-06-24T00:00:00.000Z
- Rep. Carbajal, Salud O. [D-CA-24] (D-CA), 2025-06-24T00:00:00.000Z
- Rep. Carson, André [D-IN-7] (D-IN), 2025-06-24T00:00:00.000Z
- Rep. Carter, Troy A. [D-LA-2] (D-LA), 2025-06-24T00:00:00.000Z
- Rep. Casar, Greg [D-TX-35] (D-TX), 2025-06-24T00:00:00.000Z
- Rep. Castor, Kathy [D-FL-14] (D-FL), 2025-06-24T00:00:00.000Z
- Rep. Castro, Joaquin [D-TX-20] (D-TX), 2025-06-24T00:00:00.000Z
- Rep. Cherfilus-McCormick, Sheila [D-FL-20] (D-FL), 2025-06-24T00:00:00.000Z
- Rep. Chu, Judy [D-CA-28] (D-CA), 2025-06-24T00:00:00.000Z
- Rep. Crockett, Jasmine [D-TX-30] (D-TX), 2025-06-24T00:00:00.000Z
- Rep. DelBene, Suzan K. [D-WA-1] (D-WA), 2025-06-24T00:00:00.000Z
- Rep. Dexter, Maxine [D-OR-3] (D-OR), 2025-06-24T00:00:00.000Z
- Rep. Doggett, Lloyd [D-TX-37] (D-TX), 2025-06-24T00:00:00.000Z
- Rep. Espaillat, Adriano [D-NY-13] (D-NY), 2025-06-24T00:00:00.000Z
- Rep. Frost, Maxwell [D-FL-10] (D-FL), 2025-06-24T00:00:00.000Z
- Rep. García, Jesús G. "Chuy" [D-IL-4] (D-IL), 2025-06-24T00:00:00.000Z
- Rep. Garcia, Robert [D-CA-42] (D-CA), 2025-06-24T00:00:00.000Z
- Rep. Garcia, Sylvia R. [D-TX-29] (D-TX), 2025-06-24T00:00:00.000Z
- Rep. Gomez, Jimmy [D-CA-34] (D-CA), 2025-06-24T00:00:00.000Z
- Rep. Huffman, Jared [D-CA-2] (D-CA), 2025-06-24T00:00:00.000Z
- Rep. Jackson, Jonathan L. [D-IL-1] (D-IL), 2025-06-24T00:00:00.000Z
- Rep. Jacobs, Sara [D-CA-51] (D-CA), 2025-06-24T00:00:00.000Z
- Rep. Johnson, Henry C. "Hank" [D-GA-4] (D-GA), 2025-06-24T00:00:00.000Z
- Rep. Khanna, Ro [D-CA-17] (D-CA), 2025-06-24T00:00:00.000Z
- Rep. Krishnamoorthi, Raja [D-IL-8] (D-IL), 2025-06-24T00:00:00.000Z
- Rep. Leger Fernandez, Teresa [D-NM-3] (D-NM), 2025-06-24T00:00:00.000Z
- Rep. McClellan, Jennifer L. [D-VA-4] (D-VA), 2025-06-24T00:00:00.000Z
- Rep. McGovern, James P. [D-MA-2] (D-MA), 2025-06-24T00:00:00.000Z
- Rep. Moore, Gwen [D-WI-4] (D-WI), 2025-06-24T00:00:00.000Z
- Rep. Nadler, Jerrold [D-NY-12] (D-NY), 2025-06-24T00:00:00.000Z
- Del. Norton, Eleanor Holmes [D-DC-At Large] (D-DC), 2025-06-24T00:00:00.000Z
- Rep. Omar, Ilhan [D-MN-5] (D-MN), 2025-06-24T00:00:00.000Z
- Rep. Panetta, Jimmy [D-CA-19] (D-CA), 2025-06-24T00:00:00.000Z
- Rep. Pocan, Mark [D-WI-2] (D-WI), 2025-06-24T00:00:00.000Z
- Rep. Pressley, Ayanna [D-MA-7] (D-MA), 2025-06-24T00:00:00.000Z
- Rep. Ramirez, Delia C. [D-IL-3] (D-IL), 2025-06-24T00:00:00.000Z
- Rep. Salinas, Andrea [D-OR-6] (D-OR), 2025-06-24T00:00:00.000Z
- Rep. Schakowsky, Janice D. [D-IL-9] (D-IL), 2025-06-24T00:00:00.000Z
- Rep. Sewell, Terri A. [D-AL-7] (D-AL), 2025-06-24T00:00:00.000Z
- Rep. Simon, Lateefah [D-CA-12] (D-CA), 2025-06-24T00:00:00.000Z
- Rep. Stansbury, Melanie A. [D-NM-1] (D-NM), 2025-06-24T00:00:00.000Z
- Rep. Strickland, Marilyn [D-WA-10] (D-WA), 2025-06-24T00:00:00.000Z
- Rep. Thanedar, Shri [D-MI-13] (D-MI), 2025-06-24T00:00:00.000Z
- Rep. Tlaib, Rashida [D-MI-12] (D-MI), 2025-06-24T00:00:00.000Z
- Rep. Vargas, Juan [D-CA-52] (D-CA), 2025-06-24T00:00:00.000Z
- Rep. Velázquez, Nydia M. [D-NY-7] (D-NY), 2025-06-24T00:00:00.000Z
- Rep. Wasserman Schultz, Debbie [D-FL-25] (D-FL), 2025-06-24T00:00:00.000Z
- Rep. Watson Coleman, Bonnie [D-NJ-12] (D-NJ), 2025-06-24T00:00:00.000Z
- Rep. Williams, Nikema [D-GA-5] (D-GA), 2025-06-24T00:00:00.000Z
- Rep. Wilson, Frederica S. [D-FL-24] (D-FL), 2025-06-24T00:00:00.000Z
- Rep. Lieu, Ted [D-CA-36] (D-CA), 2025-06-24T00:00:00.000Z
- Rep. Sánchez, Linda T. [D-CA-38] (D-CA), 2025-06-24T00:00:00.000Z
- Rep. Clarke, Yvette D. [D-NY-9] (D-NY), 2025-06-25T00:00:00.000Z
- Rep. Adams, Alma S. [D-NC-12] (D-NC), 2025-06-26T00:00:00.000Z
- Rep. Correa, J. Luis [D-CA-46] (D-CA), 2025-07-02T00:00:00.000Z
- Rep. Quigley, Mike [D-IL-5] (D-IL), 2025-07-02T00:00:00.000Z
- Rep. Randall, Emily [D-WA-6] (D-WA), 2025-07-10T00:00:00.000Z
- Rep. Tokuda, Jill N. [D-HI-2] (D-HI), 2025-07-14T00:00:00.000Z
- Rep. Rivas, Luz M. [D-CA-29] (D-CA), 2025-07-14T00:00:00.000Z
- Rep. Escobar, Veronica [D-TX-16] (D-TX), 2025-07-14T00:00:00.000Z
- Rep. Evans, Dwight [D-PA-3] (D-PA), 2025-07-16T00:00:00.000Z
- Rep. Kamlager-Dove, Sydney [D-CA-37] (D-CA), 2025-07-16T00:00:00.000Z
- Rep. Amo, Gabe [D-RI-1] (D-RI), 2025-07-16T00:00:00.000Z
- Rep. Menendez, Robert [D-NJ-8] (D-NJ), 2025-07-21T00:00:00.000Z
- Rep. Green, Al [D-TX-9] (D-TX), 2025-07-22T00:00:00.000Z
- Rep. Scanlon, Mary Gay [D-PA-5] (D-PA), 2025-07-23T00:00:00.000Z
- Rep. Pingree, Chellie [D-ME-1] (D-ME), 2025-07-23T00:00:00.000Z
- Rep. Veasey, Marc A. [D-TX-33] (D-TX), 2025-08-01T00:00:00.000Z
- Rep. DeSaulnier, Mark [D-CA-10] (D-CA), 2025-08-29T00:00:00.000Z
- Rep. Mullin, Kevin [D-CA-15] (D-CA), 2026-09-24T00:00:00.000Z
- Rep. Takano, Mark [D-CA-39] (D-CA), 2026-09-24T00:00:00.000Z
- Rep. Meng, Grace [D-NY-6] (D-NY), 2026-10-19T00:00:00.000Z
- Rep. Menefee, Christian D. [D-TX-18] (D-TX), 2026-10-19T00:00:00.000Z
- Rep. Ocasio-Cortez, Alexandria [D-NY-14] (D-NY), 2026-04-28T00:00:00.000Z
- Rep. Ansari, Yassamin [D-AZ-3] (D-AZ), 2026-06-02T00:00:00.000Z
- Rep. Pelosi, Nancy [D-CA-12] (D-CA), 2026-06-03T00:00:00.000Z
- Rep. Smith, Adam [D-WA-9] (D-WA), 2026-09-01T00:00:00.000Z
- Rep. Mejia, Analilia [D-NJ-11] (D-NJ), 2026-09-01T00:00:00.000Z
- Rep. Torres, Ritchie [D-NY-15] (D-NY), 2026-09-01T00:00:00.000Z
- Rep. Ross, Deborah K. [D-NC-2] (D-NC), 2026-09-03T00:00:00.000Z
- Rep. Bell, Wesley [D-MO-1] (D-MO), 2026-09-14T00:00:00.000Z
- Rep. Grijalva, Adelita S. [D-AZ-7] (D-AZ), 2026-09-15T00:00:00.000Z
- Rep. Cleaver, Emanuel [D-MO-5] (D-MO), 2026-09-16T00:00:00.000Z
- Rep. Ruiz, Raul [D-CA-25] (D-CA), 2026-09-16T00:00:00.000Z

## Provisions PRIA read

- Authorized presence counts for coverage: benefit, high. People with Federally authorized presence would count as lawfully present for the Marketplace, subsidies, Medicaid, and CHIP. This would take effect on enactment. They would get a special enrollment window, starting within 90 days if they already have that status. Lawfully present noncitizens who c…
- Marketplace subsidies for more immigrants: benefit, high. Starting in 2026, some noncitizens who cannot get Medicaid because of status could get Marketplace premium tax credits. The bill would change cost‑sharing and Basic Health Program rules to include more noncitizens. It would remove ACA language that limits Exchange access to citizens and lawful resi…
- Medicaid for lawfully residing immigrants: benefit, high. The bill would require states to give Medicaid to lawfully residing people who meet other rules, including certain battered individuals and those with approved or pending deferred action. Coverage would apply to care given starting 90 days after enactment. It would define full Medicaid benefits and…
- Medicare access for lawfully present: benefit, high. Lawfully present people, including those with approved or pending deferred action, would be able to enroll in Medicare Parts A and B. Medicare would use the same lawfully present categories as Medicaid. This would take effect upon enactment.
- States could cover undocumented residents: benefit, medium. States could choose to cover residents without lawful status under Medicaid and CHIP if they would qualify as citizens. This would take effect on enactment and would require a state plan or waiver election. Federal limits would not block these state choices. Medicaid payments would be allowed for t…

## Related bills

- 119-hr-51: Washington, D.C. Admission Act
- 119-hr-7973: Momnibus Act
- 119-hr-15: Equality Act
- 119-hr-1589: American Dream and Promise Act of 2025
- 119-hr-2763: American Family Act
- 119-hr-17: Paycheck Fairness Act

## Sources
- [119-hr-4104 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/4104)

## Related
- [119-hr-51: Washington, D.C. Admission Act](https://policyrisk.com/legislation/119-hr-51)
- [119-hr-7973: Momnibus Act](https://policyrisk.com/legislation/119-hr-7973)
- [119-hr-15: Equality Act](https://policyrisk.com/legislation/119-hr-15)
- [119-hr-1589: American Dream and Promise Act of 2025](https://policyrisk.com/legislation/119-hr-1589)
- [119-hr-2763: American Family Act](https://policyrisk.com/legislation/119-hr-2763)
- [119-hr-17: Paycheck Fairness Act](https://policyrisk.com/legislation/119-hr-17)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-4104 (as of 2026-10-21).