Bill · H.R. 4104· House(119-HR-4104)
Health Equity and Access under the Law for Immigrant Families Act of 2025
- Introduced
- 6/24/2025
- Last activity
- 6/24/2025 — 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.
- Sponsored by
- Pramila Jayapal
- Cosponsors
- - 85 - 0
- Introduced
- In Committee
What this bill would do
This bill is called the Health Equity and Access under the Law for Immigrant Families Act of 2025. Its main goal is to remove legal and policy barriers so that immigrants and their families can more easily get health insurance coverage. The legislation ensures that lawfully present individuals are eligible for federally funded health care programs. It also gives states the option to provide Medicaid and the Children's Health Insurance Program to individuals without lawful presence. Additionally, the bill removes citizenship and immigration barriers to make health care under the Affordable Care Act more accessible.
Yes· 3 of 30
Would immigrants be better off under this?+10
The primary target of the bill, removing nearly all major barriers to public health insurance.
Does this make health care easier to get in general?+10
Directly aims to remove legal and policy barriers to health insurance for immigrants and their families.
Would households on low incomes be better off under this?+9
Significantly increases access to Medicaid, CHIP, and ACA subsidies for low-income immigrants.
The opposite· 3 of 4
Does this reduce what the federal government spends?-5
The bill expands Medicaid, CHIP, and Medicare eligibility, increasing federal expenditures.
Does this reduce what the federal government owes?-3
Expanding eligibility for federally funded healthcare programs likely increases government spending.
Does this make the government pay for what it commits to?-2
Increases federal spending on health programs without specified funding offsets.
Who it would affect, and how
Potential Positive Impacts for People
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Section 3 removes barriers for lawfully residing individuals by requiring states to provide medical assistance under Medicaid and CHIP to those who are lawfully residing, including battered individuals and those with deferred action. This ensures that more people living in the country legally can get necessary health coverage.
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Section 4 clarifies that all individuals granted a federally authorized presence are considered lawfully present for programs like health insurance exchanges, reduced cost-sharing, and premium subsidies. This helps people access financial help to lower the cost of their health insurance plans.
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Section 5 removes specific citizenship and immigration barriers related to the Affordable Care Act, allowing noncitizens who are ineligible for Medicaid due to their status to access premium tax credits and cost-sharing reductions. This change helps lower-income families afford private health insurance coverage.
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Section 6 provides states with the option to expand Medicaid and CHIP to individuals without lawful presence if they would otherwise be eligible as citizens. This gives local leaders the flexibility to cover vulnerable populations in their communities who currently lack healthcare options.
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Section 8 opens up Medicare Part A and Part B enrollment to individuals who are lawfully present in the United States, including those with approved or pending deferred action applications. This allows older or disabled lawfully present immigrants to secure health coverage through Medicare.
Potential Negative Impacts for People
Based on the provided text, there are no explicitly stated negative impacts or burdens for individuals or groups of people in the United States.
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Hover a score for the reason it gave.
- Demographic And Interest Groups
- Good For Immigrants+10Good For Low Income Households+9Good For Children+8Good For Hispanic Americans+8Good For Seniors+8Good For Middle Aged+7Good For Retirees+7Good For Young Adults+7Good For Women+6Good For Asian Americans+5Good For Men+5Good For Middle Class Households+5Good For People With Disabilities+5Good For Urban Residents+5Good For Rural Residents+4Good For Students+4Good For African Americans+3Good For White Americans+2
- Healthcare
- Improves Healthcare Access+10Increases Affordable Care Act Support+8Increases Medicaid Funding+7Increases Medicare Funding+5Improves Mental Health Access+4Improves Pandemic Preparedness+3
- Social Issues And Justice
- Improves Poverty Reduction+6Improves Racial Equity+5Improves Pathway To Citizenship+2Reduces Homelessness+2
- Economy And Finance
- Improves Economic Growth+2Reduces Government Spending-5Reduces National Debt-3Improves Fiscal Responsibility-2
- Governance And Ideology
- Increases Federal Power+3Increase States Rights-2
- 9/24/2026
- 2 Cosponsors added.
- 9/16/2026
- 2 Cosponsors added.
- 9/15/2026
- 1 Cosponsor added.
- 9/14/2026
- 1 Cosponsor added.
- 9/3/2026
- 1 Cosponsor added.
- 9/1/2026
- 3 Cosponsors added.
- 6/3/2026
- 1 Cosponsor added.
- 6/2/2026
- 1 Cosponsor added.
- 4/28/2026
- 1 Cosponsor added.
- 8/29/2025
- 1 Cosponsor added.
- 8/1/2025
- 1 Cosponsor added.
- 7/23/2025
- 2 Cosponsors added.
- 7/22/2025
- 1 Cosponsor added.
- 7/21/2025
- 1 Cosponsor added.
- 7/16/2025
- 3 Cosponsors added.
- 7/14/2025
- 3 Cosponsors added.
- 7/10/2025
- 1 Cosponsor added.
- 7/2/2025
- 2 Cosponsors added.
- 6/26/2025
- 1 Cosponsor added.
- 6/25/2025
- 1 Cosponsor added.
- 6/24/2025
- 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.
- 55 Cosponsors added.
- Introduced in House
One bill Congress.gov lists as related to this one — companions in the other chamber, earlier versions, and bills this one absorbed or was folded into.
Alma AdamsDemocrat · North Carolina
Gabe AmoDemocrat · Rhode Island
Yassamin AnsariDemocrat · Arizona
Suzanne BonamiciDemocrat · Oregon
Donald BeyerDemocrat · Virginia
Nanette BarragánDemocrat · California
Becca BalintDemocrat · Vermont
Wesley BellDemocrat · Missouri
Emanuel CleaverDemocrat · Missouri
Kathy CastorDemocrat · Florida
Yvette ClarkeDemocrat · New York
André CarsonDemocrat · Indiana
Judy ChuDemocrat · California
Joaquin CastroDemocrat · Texas
J. CorreaDemocrat · California
Salud CarbajalDemocrat · California
Troy CarterDemocrat · Louisiana
Sheila Cherfilus-McCormickDemocrat · Florida
Jasmine CrockettDemocrat · Texas
Greg CasarDemocrat · Texas
Lloyd DoggettDemocrat · Texas
Suzan DelBeneDemocrat · Washington
Mark DeSaulnierDemocrat · California
Maxine DexterDemocrat · Oregon
Dwight EvansDemocrat · Pennsylvania
Adriano EspaillatDemocrat · New York
Veronica EscobarDemocrat · Texas
Maxwell FrostDemocrat · Florida
Al GreenDemocrat · Texas
Jimmy GomezDemocrat · California
Jesús GarcíaDemocrat · Illinois
Sylvia GarciaDemocrat · Texas
Robert GarciaDemocrat · California
Adelita GrijalvaDemocrat · Arizona
Jared HuffmanDemocrat · California
Henry JohnsonDemocrat · Georgia
Sara JacobsDemocrat · California
Jonathan JacksonDemocrat · Illinois
Ro KhannaDemocrat · California
Raja KrishnamoorthiDemocrat · Illinois
Sydney Kamlager-DoveDemocrat · California
Teresa Leger FernandezDemocrat · New Mexico
Ted LieuDemocrat · California
James McGovernDemocrat · Massachusetts
Gwen MooreDemocrat · Wisconsin
Kevin MullinDemocrat · California
Robert MenendezDemocrat · New Jersey
Jennifer McClellanDemocrat · Virginia
Analilia MejiaDemocrat · New Jersey
Jerrold NadlerDemocrat · New York
Eleanor NortonDemocrat · District of Columbia
Alexandria Ocasio-CortezDemocrat · New York
Ilhan OmarDemocrat · Minnesota
Nancy PelosiDemocrat · California
Chellie PingreeDemocrat · Maine
Mark PocanDemocrat · Wisconsin
Jimmy PanettaDemocrat · California
Ayanna PressleyDemocrat · Massachusetts
Mike QuigleyDemocrat · Illinois
Deborah RossDemocrat · North Carolina
Raul RuizDemocrat · California
Delia RamirezDemocrat · Illinois
Luz RivasDemocrat · California
Emily RandallDemocrat · Washington
Adam SmithDemocrat · Washington
Janice SchakowskyDemocrat · Illinois
Linda SánchezDemocrat · California
Marilyn StricklandDemocrat · Washington
Terri SewellDemocrat · Alabama
Mary Gay ScanlonDemocrat · Pennsylvania
Melanie StansburyDemocrat · New Mexico
Andrea SalinasDemocrat · Oregon
Lateefah SimonDemocrat · California
Mark TakanoDemocrat · California
Rashida TlaibDemocrat · Michigan
Ritchie TorresDemocrat · New York
Jill TokudaDemocrat · Hawaii
Shri ThanedarDemocrat · Michigan
Nydia VelázquezDemocrat · New York
Juan VargasDemocrat · California
Marc VeaseyDemocrat · Texas
Nikema WilliamsDemocrat · Georgia
Debbie Wasserman SchultzDemocrat · Florida
Frederica WilsonDemocrat · Florida
Bonnie Watson ColemanDemocrat · New Jersey