Pramila Jayapal (D-WA)
Health Equity and Access under the Law for Immigrant Families Act of 2025
A Democratic bill with 88 Democratic cosponsors · See all 88 cosponsors
Last activity — 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.
In committee
Introduced and handed to a committee in the chamber it started in.
The committee holds it, and most bills are never heard from again. A hearing or a committee vote would be news; silence is the usual outcome, and it kills the bill without anyone voting against it.
Its path through Congress
- 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
- Scored +10
Would immigrants be better off under this?
The primary target of the bill, removing nearly all major barriers to public health insurance.
- Scored +10
Does this make health care easier to get in general?
Directly aims to remove legal and policy barriers to health insurance for immigrants and their families.
- Scored +9
Would households on low incomes be better off under this?
Significantly increases access to Medicaid, CHIP, and ACA subsidies for low-income immigrants.
The opposite· 3 of 4
- Scored -5
Does this reduce what the federal government spends?
The bill expands Medicaid, CHIP, and Medicare eligibility, increasing federal expenditures.
- Scored -3
Does this reduce what the federal government owes?
Expanding eligibility for federally funded healthcare programs likely increases government spending.
- Scored -2
Does this make the government pay for what it commits to?
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. Tap or hover a score for the reason it gave.
- Demographic And Interest Groups
- Would immigrants be better off under this? — The primary target of the bill, removing nearly all major barriers to public health insurance. Would households on low incomes be better off under this? — Significantly increases access to Medicaid, CHIP, and ACA subsidies for low-income immigrants. Would children be better off under this? — Expands CHIP access for immigrant children and pregnant women. Would Hispanic Americans be better off under this? — High positive impact as this group is heavily represented among the targeted immigrant populations. Would people over 65 be better off under this? — Expands Medicare Part A and B access to lawfully present seniors. Would people in middle age be better off under this? — Removes barriers to Medicaid and ACA subsidies for adult immigrants. Would retired people be better off under this? — Lawfully present retirees gain access to Medicare Part A and B. Would people in their twenties and thirties be better off under this? — Increases access to ACA exchanges and subsidies for young immigrants. Would women be better off under this? — Specific provisions for pregnant women in the CHIP expansion section. Would Asian Americans be better off under this? — Positive impact for Asian American immigrants and their families. Would men be better off under this? — General increase in healthcare access for all eligible immigrants. Would middle-income households be better off under this? — Expands access to ACA premium tax credits and cost-sharing reductions. Would people with disabilities be better off under this? — Increases access to essential medical assistance for disabled immigrants. Would people in cities be better off under this? — Higher concentrations of immigrant populations in urban areas will benefit significantly. Would people in rural areas be better off under this? — Immigrant workers in rural sectors will gain much-needed health coverage. Would students be better off under this? — Improves healthcare access for immigrant students lawfully present in the US. Would Black Americans be better off under this? — Positive impact for African American immigrants and their families. Would white Americans be better off under this? — Positive impact for White immigrants and their families.
- Healthcare
- Does this make health care easier to get in general? — Directly aims to remove legal and policy barriers to health insurance for immigrants and their families. Does this strengthen the Affordable Care Act? — Expands ACA exchange eligibility and subsidies to those with federally authorized presence. Does this put more money into Medicaid, the health coverage for people on low incomes? — Removes barriers and provides options for States to expand Medicaid to more immigrant populations. Does this put more money into Medicare, the health coverage for people over 65? — Expands Medicare Part A and B eligibility to lawfully present individuals, necessitating more funding. Does this make mental health care easier to get? — Increased insurance coverage generally improves access to all covered health services, including mental health. Does this make the country readier for the next outbreak? — Broader healthcare coverage improves overall population health monitoring and response capabilities.
- Social Issues And Justice
- Is this likely to lift people out of poverty? — Providing health insurance reduces the risk of medical bankruptcy and catastrophic health expenses for low-income immigrants. Does this narrow racial gaps in how people are treated? — Addresses health disparities that disproportionately affect immigrant communities of color. Does this make it easier for immigrants already here to become citizens? — While not a direct path to citizenship, it improves the quality of life for those in the process. Is this likely to reduce homelessness? — Better health access can prevent health crises that lead to loss of employment and housing.
- Economy And Finance
- Is this likely to grow the economy? — Increased healthcare access generally leads to a healthier and more productive workforce. Does this reduce what the federal government spends? — The bill expands Medicaid, CHIP, and Medicare eligibility, increasing federal expenditures. Does this reduce what the federal government owes? — Expanding eligibility for federally funded healthcare programs likely increases government spending. Does this make the government pay for what it commits to? — Increases federal spending on health programs without specified funding offsets.
- Governance And Ideology
- Does this give the federal government more power? — Sets new federal mandates for State Medicaid and CHIP eligibility. Does this leave more decisions to the states? — Eliminates certain State authorities to restrict Medicaid eligibility for lawful permanent residents.
- 11/10/2026
- 1 Cosponsor added.
- 10/19/2026
- 2 Cosponsors added.
- 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
Summer LeeDemocrat · Pennsylvania
James McGovernDemocrat · Massachusetts
Gwen MooreDemocrat · Wisconsin
Grace MengDemocrat · New York
Kevin MullinDemocrat · California
Robert MenendezDemocrat · New Jersey
Jennifer McClellanDemocrat · Virginia
Christian MenefeeDemocrat · Texas
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