Health Equity and Access under the Law for Immigrant Families Act of 2025
Sponsored By: Representative Jayapal, Pramila [D-WA-7]
Introduced
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.
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Bill Overview
Analyzed Economic Effects
5 provisions identified: 5 benefits, 0 costs, 0 mixed.
Authorized presence counts for coverage
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 cannot get full Medicaid would keep any premium tax credits and their pre‑enactment Medicaid access rules.
Marketplace subsidies for more immigrants
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 residents and adjust payment and minimum‑coverage text. These changes would apply for years, plan years, and taxable years beginning after December 31, 2025.
Medicaid for lawfully residing immigrants
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 align CHIP rules to match these immigrant categories. Sponsors would not owe debt for this care. States that need new laws would get time until after their next regular session.
Medicare access for lawfully present
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
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 the new eligibility group.
Sponsors & CoSponsors
Sponsor
Jayapal, Pramila [D-WA-7]
WA • D
Cosponsors
Barragan
CA • D
Sponsored 6/24/2025
Rep. Balint, Becca [D-VT-At Large]
VT • D
Sponsored 6/24/2025
Rep. Beyer, Donald S. [D-VA-8]
VA • D
Sponsored 6/24/2025
Bonamici
OR • D
Sponsored 6/24/2025
Rep. Carbajal, Salud O. [D-CA-24]
CA • D
Sponsored 6/24/2025
Carson
IN • D
Sponsored 6/24/2025
Rep. Carter, Troy A. [D-LA-2]
LA • D
Sponsored 6/24/2025
Rep. Casar, Greg [D-TX-35]
TX • D
Sponsored 6/24/2025
Rep. Castor, Kathy [D-FL-14]
FL • D
Sponsored 6/24/2025
Castro (TX)
TX • D
Sponsored 6/24/2025
Cherfilus-McCormick
FL • D
Sponsored 6/24/2025
Rep. Chu, Judy [D-CA-28]
CA • D
Sponsored 6/24/2025
Crockett
TX • D
Sponsored 6/24/2025
DelBene
WA • D
Sponsored 6/24/2025
Rep. Dexter, Maxine [D-OR-3]
OR • D
Sponsored 6/24/2025
Rep. Doggett, Lloyd [D-TX-37]
TX • D
Sponsored 6/24/2025
Espaillat
NY • D
Sponsored 6/24/2025
Rep. Frost, Maxwell [D-FL-10]
FL • D
Sponsored 6/24/2025
Rep. García, Jesús G. "Chuy" [D-IL-4]
IL • D
Sponsored 6/24/2025
Rep. Garcia, Robert [D-CA-42]
CA • D
Sponsored 6/24/2025
Rep. Garcia, Sylvia R. [D-TX-29]
TX • D
Sponsored 6/24/2025
Gomez
CA • D
Sponsored 6/24/2025
Rep. Huffman, Jared [D-CA-2]
CA • D
Sponsored 6/24/2025
Jackson (IL)
IL • D
Sponsored 6/24/2025
Rep. Jacobs, Sara [D-CA-51]
CA • D
Sponsored 6/24/2025
Johnson (GA)
GA • D
Sponsored 6/24/2025
Khanna
CA • D
Sponsored 6/24/2025
Rep. Krishnamoorthi, Raja [D-IL-8]
IL • D
Sponsored 6/24/2025
Rep. Leger Fernandez, Teresa [D-NM-3]
NM • D
Sponsored 6/24/2025
McClellan
VA • D
Sponsored 6/24/2025
McGovern
MA • D
Sponsored 6/24/2025
Rep. Moore, Gwen [D-WI-4]
WI • D
Sponsored 6/24/2025
Rep. Nadler, Jerrold [D-NY-12]
NY • D
Sponsored 6/24/2025
Del. Norton, Eleanor Holmes [D-DC-At Large]
DC • D
Sponsored 6/24/2025
Rep. Omar, Ilhan [D-MN-5]
MN • D
Sponsored 6/24/2025
Rep. Panetta, Jimmy [D-CA-19]
CA • D
Sponsored 6/24/2025
Rep. Pocan, Mark [D-WI-2]
WI • D
Sponsored 6/24/2025
Rep. Pressley, Ayanna [D-MA-7]
MA • D
Sponsored 6/24/2025
Rep. Ramirez, Delia C. [D-IL-3]
IL • D
Sponsored 6/24/2025
Rep. Salinas, Andrea [D-OR-6]
OR • D
Sponsored 6/24/2025
Schakowsky
IL • D
Sponsored 6/24/2025
Sewell
AL • D
Sponsored 6/24/2025
Simon
CA • D
Sponsored 6/24/2025
Stansbury
NM • D
Sponsored 6/24/2025
Rep. Strickland, Marilyn [D-WA-10]
WA • D
Sponsored 6/24/2025
Rep. Thanedar, Shri [D-MI-13]
MI • D
Sponsored 6/24/2025
Rep. Tlaib, Rashida [D-MI-12]
MI • D
Sponsored 6/24/2025
Rep. Vargas, Juan [D-CA-52]
CA • D
Sponsored 6/24/2025
Rep. Velázquez, Nydia M. [D-NY-7]
NY • D
Sponsored 6/24/2025
Rep. Wasserman Schultz, Debbie [D-FL-25]
FL • D
Sponsored 6/24/2025
Rep. Watson Coleman, Bonnie [D-NJ-12]
NJ • D
Sponsored 6/24/2025
Rep. Williams, Nikema [D-GA-5]
GA • D
Sponsored 6/24/2025
Wilson (FL)
FL • D
Sponsored 6/24/2025
Rep. Lieu, Ted [D-CA-36]
CA • D
Sponsored 6/24/2025
Rep. Sánchez, Linda T. [D-CA-38]
CA • D
Sponsored 6/24/2025
Rep. Clarke, Yvette D. [D-NY-9]
NY • D
Sponsored 6/25/2025
Adams
NC • D
Sponsored 6/26/2025
Rep. Correa, J. Luis [D-CA-46]
CA • D
Sponsored 7/2/2025
Rep. Quigley, Mike [D-IL-5]
IL • D
Sponsored 7/2/2025
Randall
WA • D
Sponsored 7/10/2025
Rep. Tokuda, Jill N. [D-HI-2]
HI • D
Sponsored 7/14/2025
Rep. Rivas, Luz M. [D-CA-29]
CA • D
Sponsored 7/14/2025
Escobar
TX • D
Sponsored 7/14/2025
Rep. Evans, Dwight [D-PA-3]
PA • D
Sponsored 7/16/2025
Rep. Kamlager-Dove, Sydney [D-CA-37]
CA • D
Sponsored 7/16/2025
Rep. Amo, Gabe [D-RI-1]
RI • D
Sponsored 7/16/2025
Rep. Menendez, Robert [D-NJ-8]
NJ • D
Sponsored 7/21/2025
Rep. Green, Al [D-TX-9]
TX • D
Sponsored 7/22/2025
Rep. Scanlon, Mary Gay [D-PA-5]
PA • D
Sponsored 7/23/2025
Pingree
ME • D
Sponsored 7/23/2025
Rep. Veasey, Marc A. [D-TX-33]
TX • D
Sponsored 8/1/2025
Rep. DeSaulnier, Mark [D-CA-10]
CA • D
Sponsored 8/29/2025
Ocasio-Cortez
NY • D
Sponsored 4/28/2026
Roll Call Votes
No roll call votes available for this bill.
View on Congress.gov