# 119-s-2149: Health Equity and Access under the Law for Immigrant Families Act of 2025 119-s-2149, Health Equity and Access under the Law for Immigrant Families Act of 2025, is a 119th Congress bill sponsored by Sen. Booker, Cory A. [D-NJ] (D-NJ); status introduced; PRIA reads it as touching household money (as of 2026-06-11). - Canonical: https://policyrisk.com/legislation/119-s-2149 - As of: 2026-06-11 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: 119-s-2149 - Congress: 119 - Title: Health Equity and Access under the Law for Immigrant Families Act of 2025 - Status: introduced - Introduced: 2025-06-24 - Sponsor: Sen. Booker, Cory A. [D-NJ] (D-NJ) - Cosponsors: 10 - Policy area: Health - Touches household money: yes - Last recorded action: 2026-06-11 ## Summary **This bill would expand federal health coverage access for immigrants** by removing immigration-based barriers that limit eligibility for Medicaid, CHIP, ACA marketplace subsidies, and Medicare. - Families could see children and pregnant women gain eligibility for Medicaid and CHIP, and states could opt to cover people without lawful presence under new targeted eligibility categories. The bill also bars sponsors from being billed under an affidavit of support for medical assistance provided to lawfully residing individuals. - People with Federally authorized presence would be treated as lawfully present for ACA exchange eligibility, premium tax credits, and reduced cost sharing. The bill would also authorize some without lawful presence to buy coverage on ACA exchanges and makes key subsidy and eligibility changes effective for years and plan years beginning after December 31, 2025. - Medicare Parts A and B definitions would change to include individuals who are lawfully present, including those with deferred action or other Federally authorized presence. That definition is tied to the categories the bill adds for Medicaid and CHIP eligibility. ## Cosponsors (10) - Sen. Heinrich, Martin [D-NM] (D-NM), 2025-06-24T00:00:00.000Z - Sen. Padilla, Alex [D-CA] (D-CA), 2025-06-24T00:00:00.000Z - Sen. Warren, Elizabeth [D-MA] (D-MA), 2025-06-24T00:00:00.000Z - Sen. Murray, Patty [D-WA] (D-WA), 2025-06-24T00:00:00.000Z - Sen. Hirono, Mazie K. [D-HI] (D-HI), 2025-06-24T00:00:00.000Z - Sen. Sanders, Bernard [I-VT] (I-VT), 2025-06-24T00:00:00.000Z - Sen. Blumenthal, Richard [D-CT] (D-CT), 2025-06-24T00:00:00.000Z - Sen. Markey, Edward J. [D-MA] (D-MA), 2025-06-24T00:00:00.000Z - Sen. Kaine, Tim [D-VA] (D-VA), 2025-07-09T00:00:00.000Z - Sen. Schiff, Adam B. [D-CA] (D-CA), 2026-06-09T00:00:00.000Z ## Provisions PRIA read - More Medicaid and CHIP access for immigrants: benefit, high. If enacted, States would be allowed to give Medicaid to people who lawfully live in the U.S. if they meet other State rules. The bill would let States add a CHIP option to cover children or pregnant women without lawful presence. Services would be covered starting 90 days after enactment, though St… - Treat federally authorized presence as lawful: benefit, high. If enacted, people granted Federally authorized presence would be treated as "lawfully present" for Marketplace enrollment, premium help, reduced cost-sharing, and Medicaid/CHIP eligibility. That rule would take effect on enactment. The Health Department would be required to open a special enrollme… - Premium tax credits for noncitizens preserved: benefit, high. If enacted, some noncitizen taxpayers who were barred from premium tax credits only because of immigration-based Medicaid ineligibility would be able to claim credits for tax years after December 31, 2025. The bill would also preserve prior premium tax credit and Medicaid-related subsidy access for… - Medicare eligibility for lawfully present: benefit, medium. If enacted, Medicare language would explicitly include people who are lawfully present, including those with approved or pending deferred action. That change would clarify who can qualify for Medicare Part A and Part B and could let some noncitizen seniors enroll. - Marketplace eligibility and payment changes: mixed, medium. If enacted, several Marketplace rules would change for years after December 31, 2025. The bill would remove a residency limit that kept some noncitizens out of Marketplace enrollment. It would also repeal certain cost-sharing reductions and change rules about federal payments and Basic Health Progr… ## Related bills - 119-s-5066: Health Equity and Accountability Act of 2026 - 119-s-51: Washington, D.C. Admission Act - 119-s-5108: Right to IVF Act of 2026 - 119-s-1503: Equality Act - 119-s-5283: Momnibus Act - 119-s-852: Richard L. Trumka Protecting the Right to Organize Act of 2025 ## Sources - [119-s-2149 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/2149) ## Related - [119-s-5066: Health Equity and Accountability Act of 2026](https://policyrisk.com/legislation/119-s-5066) - [119-s-51: Washington, D.C. Admission Act](https://policyrisk.com/legislation/119-s-51) - [119-s-5108: Right to IVF Act of 2026](https://policyrisk.com/legislation/119-s-5108) - [119-s-1503: Equality Act](https://policyrisk.com/legislation/119-s-1503) - [119-s-5283: Momnibus Act](https://policyrisk.com/legislation/119-s-5283) - [119-s-852: Richard L. Trumka Protecting the Right to Organize Act of 2025](https://policyrisk.com/legislation/119-s-852) - [All bills in Congress](https://policyrisk.com/legislation) Source: PRIA, https://policyrisk.com/legislation/119-s-2149 (as of 2026-06-11).