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H.R. 4104: Health Equity and Access under the Law for Immigrant Families Act of 2025

The Health Equity and Access under the Law for Immigrant Families Act of 2025 aims to expand health insurance coverage for individuals who are lawfully present in the United States and to facilitate access to such coverage for undocumented individuals. The bill includes several key provisions:

Purpose

All individuals lawfully present should be eligible for Federally funded health care programs.
Undocumented individuals should be able to obtain health insurance through established health insurance exchanges.
States should no longer be allowed to impose restrictions on Medicaid eligibility for lawful permanent residents.
Remove additional barriers to accessing Medicaid, CHIP (Children's Health Insurance Program), and other medical assistance programs.

Removing Barriers to Health Coverage

Medicaid

The bill proposes amendments to the Social Security Act to ensure that:

States must provide Medicaid to individuals who are lawfully residing in the U.S. if they meet other eligibility requirements.
No debt is incurred by sponsors of individuals receiving Medicaid assistance under this law.

CHIP

CHIP eligibility will also be expanded to align with the amendments for lawfully present individuals.

Consistency in Health Insurance Coverage

Individuals granted Federally authorized presence will be treated as lawfully present for health insurance eligibility.
Eligibility for insurance exchanges, reduced cost-sharing, and premium subsidies will be extended to these individuals.

Removing Citizenship and Immigration Barriers

The bill aims to amend provisions related to tax credits and cost-sharing to ensure that lawfully present individuals have access regardless of immigration status:

Premium tax credits and cost-sharing reductions under the Affordable Care Act will no longer be limited based on citizenship or immigration status.
The requirement to maintain minimum essential coverage will be adjusted to remove certain restrictions.

State Option to Expand Medicaid and CHIP

States will have the option to provide Medicaid and CHIP to individuals without lawful presence if they would otherwise qualify if they were citizens.

Preserving Access to Coverage

The Act ensures that noncitizens who are ineligible for full Medicaid benefits can still secure tax credits and other forms of assistance related to health care.

Removing Barriers in Medicare

Amendments will also be made to the provisions of Medicare to include individuals who are lawfully present, thereby ensuring they have access to medical assistance.

Effective Dates

The provisions shall take effect upon enactment with specific timelines for implementation based on the nature of the amendments. For example, some changes will apply within 90 days post-enactment, while others will take effect for applicable years following December 31, 2025.

Relevant Companies

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This is an AI-generated summary of the bill text. There may be mistakes.

Actions

2 actions

Date	Action
Jun. 24, 2025	Introduced in House
Jun. 24, 2025	Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

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