H.R. 4104In committeeHealth care
Bill would open Medicaid and CHIP to more immigrants
Data as of July 11, 2026
This bill would let most lawfully present immigrants join Medicaid, CHIP, Medicare, and ACA plans without waiting periods.50-second read · 4 questions answered below
Decoded
What does this do?
This bill would remove waiting periods and other restrictions that currently block many lawfully present immigrants from enrolling in Medicaid, CHIP, Medicare, and Affordable Care Act marketplace plans. It would also give states the choice — not the requirement — to extend Medicaid and CHIP to undocumented immigrants who meet income and other eligibility rules. Sponsors who sign an affidavit of support for an immigrant would no longer be held financially responsible for that person's government health care costs.
Who does it affect?
Lawfully present immigrants — including DACA recipients and others with federally authorized permission to be in the country — and their families would be affected. State governments that run Medicaid and CHIP programs would also be affected, since they would gain a new option to expand coverage.
Why does it matter?
Currently, many immigrants wait years before they can enroll in these programs, and some cannot enroll at all. This bill would change who is eligible and how financial responsibility is assigned for immigrant health coverage.
Where does it stand?
- Introduced
- House committee — You are here
- House vote
- Senate
- President's desk
Right now: a House committee is reviewing it. If the Senate changes it, it goes back to the House before reaching the President.
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Official title
Health Equity and Access under the Law for Immigrant Families Act of 2025
- Introduced:
- June 24, 2025
- Latest action:
- June 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.
Read the official bill on Congress.govMake the call
Three steps: where you stand, your script, the call.