Health Equity and Access under the Law for Immigrant Families Act of 2025
Summary
What This Bill Does
The bill exempts statement of purpose declaring intent to ensure health program eligibility for lawfully present individuals, enable undocumented individuals to access ACA exchanges, eliminate state authority to restrict, requires medicaid and CHIP eligibility requirements under Social Security Act sections 1903(v)(4) and 2107(e)(1), mandating states provide medical assistance to lawfully residing individuals including those, and exempts eligibility expansion for individuals with Federally authorized presence (including deferred action) across ACA exchanges, cost-sharing reductions, premium subsidies, and Medicaid/CHIP, with special enrollment. It relies on definition changes, exemptions, compliance mandates, and tax credits. The main policy areas are Civil Rights, Healthcare, and Finance.
Who Benefits and How
Noncitizen individuals ineligible for Medicaid due to immigration status could see lower costs, Lawfully residing immigrants and deferred action recipients could see lower costs, and Lawfully present immigrants including deferred action recipients could see lower costs.
Who Bears the Burden and How
State Medicaid programs would take on compliance duties, Federal Medicaid program could face higher costs, and Medicare program (Parts A and B) could face higher costs.
Key Provisions
- Exempts statement of purpose declaring intent to ensure health program eligibility for lawfully present individuals, enable undocumented individuals to access ACA exchanges, eliminate state authority to restrict...
- Requires medicaid and CHIP eligibility requirements under Social Security Act sections 1903(v)(4) and 2107(e)(1), mandating states provide medical assistance to lawfully residing individuals including those...
- Exempts eligibility expansion for individuals with Federally authorized presence (including deferred action) across ACA exchanges, cost-sharing reductions, premium subsidies, and Medicaid/CHIP, with special enrollment...
- Creates removal of citizenship and immigration status barriers from ACA premium tax credits (IRC 36B), cost-sharing reductions, basic health program eligibility, federal payment restrictions, and minimum essential...
- Defines savings clause preserving existing ACA premium tax credit eligibility for lawfully present noncitizens ineligible for full Medicaid benefits, with definition of full benefits as comprehensive state Medicaid plan...
Evidence Chain:
This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.
At a Glance
What This Bill Does
The bill exempts statement of purpose declaring intent to ensure health program eligibility for lawfully present individuals, enable undocumented individuals to access ACA exchanges, eliminate state authority to restrict, requires medicaid and CHIP eligibility requirements under Social Security Act sections 1903(v)(4) and 2107(e)(1), mandating states provide medical assistance to lawfully residing individuals including those, and exempts eligibility expansion for individuals with Federally authorized presence (including deferred action) across ACA exchanges, cost-sharing reductions, premium subsidies, and Medicaid/CHIP, with special enrollment.
Key Policy Areas
Civil Rights, Healthcare, Finance
Primary Purpose
The bill exempts statement of purpose declaring intent to ensure health program eligibility for lawfully present individuals, enable undocumented individuals to access ACA exchanges, eliminate state authority to restrict, requires medicaid and CHIP eligibility requirements under Social Security Act sections 1903(v)(4) and 2107(e)(1), mandating states provide medical assistance to lawfully residing individuals including those, and exempts eligibility expansion for individuals with Federally authorized presence (including deferred action) across ACA exchanges, cost-sharing reductions, premium subsidies, and Medicaid/CHIP, with special enrollment.
Policy Domains
Sec. 3 -- Removing Barriers to Health Coverage for Lawfully Residing Individuals
Identified Gains
- Noncitizen individuals ineligible for Medicaid due to immigration status
- Lawfully residing immigrants and deferred action recipients
- Lawfully present immigrants including deferred action recipients
- Deferred action recipients and federally authorized presence holders
- Lawfully present immigrants
Identified Costs
- State Medicaid programs
- Federal Medicaid program
- Medicare program (Parts A and B)
- Federal Treasury (premium subsidy outlays)
- Federal government health programs
Sponsors
Legislative Progress
In CommitteeMr. Booker (for himself, Mr. Heinrich, Mr. Padilla, Ms. Warren, …
Read twice and referred to the Committee on Finance.
Introduced in Senate
Stakeholder Effects
cui bono?How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.
Deferred action recipients and federally authorized presence holders, Immigrant sponsors, Lawfully present immigrants
Federal Medicaid program, Federal Treasury (premium subsidy outlays), Federal government (subsidy costs)
ACA marketplace plans, Health insurance exchanges
Healthcare providers serving immigrant populations
Bill Structure & Actor Mappings
Who is "The Secretary" in each section?
- "the_secretary"
- → Secretary of Health and Human Services
- "the_secretary"
- → Secretary of Health and Human Services
Key Definitions
Terms defined in this bill
Individuals granted Federally authorized presence in the United States, considered lawfully present for purposes of health coverage eligibility.
Medical assistance for all services covered under the State Medicaid plan that is not less in amount, duration, or scope than assistance available for categorically eligible individuals.
Includes at minimum all immigration categories treated as lawfully present for purposes of Medicaid as amended by section 3.
We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.
Learn more about our methodology