To exclude certain individuals subject to certain deferred action from eligibility for health plans offered on the Exchanges, advance payments of the premium tax credit, cost-sharing reductions, a Basic Health Program, and for Medicaid and the Children's Health Insurance Programs, and for other purposes.
Analysis under review: This bill has generated analysis that may be too generic or incomplete. Clause-level evidence remains available below.
Summary
What This Bill Does
This bill bars individuals who received deferred action under the 2012 DACA (Deferred Action for Childhood Arrivals) program from enrolling in or receiving benefits from federal health insurance programs. It amends the Affordable Care Act, Medicaid, and CHIP to explicitly exclude DACA recipients from coverage.
Who Benefits and How
- Federal and state governments may see reduced healthcare expenditures by eliminating coverage for an estimated 600,000+ DACA recipients
- Taxpayers who oppose public benefits for undocumented immigrants may view this as aligning government spending with their policy preferences
Who Bears the Burden and How
- DACA recipients lose access to ACA marketplace plans, premium tax credits (Section 36B), state Basic Health Programs, Medicaid, and CHIP
- Healthcare providers may face increased uncompensated care as DACA recipients lose insurance coverage
- States must rescind existing waivers within 30 days and cannot elect to cover DACA recipients under Medicaid or CHIP
Key Provisions
- Excludes DACA recipients from the definition of lawfully present for ACA exchange enrollment
- Prohibits premium tax credits for DACA recipients
- Bars states from using federal funds to provide health coverage to DACA recipients
- Requires HHS to rescind any existing waivers that provided coverage to DACA recipients
Evidence Chain:
This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers.
At a Glance
What This Bill Does
Prohibits DACA recipients (individuals granted deferred action under the 2012 DHS memorandum) from accessing federal health insurance programs including ACA exchanges, premium tax credits, Medicaid, and CHIP.
Key Policy Areas
Healthcare, Immigration
Primary Purpose
Prohibits DACA recipients (individuals granted deferred action under the 2012 DHS memorandum) from accessing federal health insurance programs including ACA exchanges, premium tax credits, Medicaid, and CHIP.
Policy Domains
Full Bill - No Obamacare for Illegal Aliens Act
Identified Gains
Contextual inference, no direct clause citation- Federal budget (reduced expenditures)
- State budgets
Contextual inference, no direct clause citation
Identified Costs
Contextual inference, no direct clause citation- DACA recipients
- Healthcare providers (uncompensated care)
- States (waiver rescission)
Contextual inference, no direct clause citation
Sponsors
Legislative Progress
IntroducedMr. Vance introduced the following bill; which was read twice …
Stakeholder Effects
cui bono?How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.
Department of Health and Human Services, Federal government (Medicaid/CHIP expenditures), Federal government (tax credit expenditures)
Positive-direction: Federal government (Medicaid/CHIP expenditures), Federal government (tax credit expenditures)
Negative-direction: Department of Health and Human Services, State governments administering Medicaid/CHIP
Bill Structure & Actor Mappings
Who is "The Secretary" in each section?
- "the_secretary"
- → Secretary of Health and Human Services
Key Definitions
Terms defined in this bill
DACA recipients granted deferred action under the June 15, 2012 DHS memorandum are NOT treated as lawfully present for purposes of ACA enrollment and tax credits
DACA recipients are excluded from the definition of qualified alien for Medicaid and CHIP purposes
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