This bill expands health insurance coverage for immigrants and their families by removing citizenship and immigration-status barriers across multiple federal health programs. It makes all lawfully present immigrants eligible for Medicaid, CHIP (Children's Health Insurance Program), Medicare, and subsidies through the Affordable Care Act exchanges, and allows states the option to extend Medicaid and CHIP to undocumented immigrants. The bill takes effect 90 days after enactment, though states needing legislative changes have until the first regular legislative session after passage to comply. It eliminates current restrictions that prevent lawfully present immigrants from accessing premium tax credits and cost-sharing reductions, while preserving existing coverage protections for those already receiving benefits. The legislation is aimed at reducing health disparities among immigrant families while maintaining current eligibility levels for non-immigrants.
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