,i  #aacth ,,congress  #b;d ,session    
,h4 ,r4 #dbdj  ,,in ,,the ,,house ,,of  
,,representatives  ,march #ac1 #bjad    
,ms4 ,michelle ,lujan ,grisham of ,new  
,mexico 7for herself1 ,ms4 ,lee of      
,california1 ,ms4 ,norton1 ,mrs4        
,christensen1 ,ms4 ,fudge1 ,mr4         
,gutirrez1 ,ms4 ,roybal-,allard1 ,mr4   
,veasey1 ,mr4 ,crdenas1 ,mr4 ,grijalva1 
,ms4 ,brown of ,florida1 ,mr4 ,hastings 
of ,florida1 ,ms4 ,linda ,t4 ,snchez of 
,california1 ,ms4 ,pingree of ,maine1   
,ms4 ,schakowsky1 ,mr4 ,vargas1 and     
,mrs4 ,napolitano7 introduced the       
following bill2 which was referred to   
the ,committee on ,energy and ,commerce1
 and in addition to the ,committee on   
,ways and ,means1 for a period to be    
subsequently determined by the ,speaker1
 in each case for consideration of such 
provisions as fall within the           
jurisdiction of the committee concerned 
,a ,,bill  ,to expand access to health  
care services1 including sexual1        
reproductive1 and maternal health       

services1 for immigrant women1 men1 and 
families by removing legal barriers to  
health insurance coverage1 and for other
 purposes4  #a4 ,short title ,this ,act 
may be cited as the ,health ,equity and 
,access under the ,law for ,immigrant   
,women and ,families ,act of #bjad or as
 the ,,heal ,immigrant ,women and       
,families ,act of #bjad 4  #b4 ,findings
 ,congress finds as follows3  7#a7      
,insurance coverage reduces harmful     
health disparities by alleviating cost  
barriers to and increasing utilization  
of basic preventive health services1    
especially among low-income and         
underserved populations1 and especially 
among women4  7#b7 ,based solely on     
their immigration status1 many          
immigrants and their families face legal
 restrictions on their ability to obtain
 health insurance coverage through      
,medicaid1 ,,chip1 and ,health          
,insurance ,exchanges4  7#c7 ,lack of   
health insurance contributes to         
persistent disparities in the           

prevention1 diagnosis1 and treatment of 
negative health outcomes borne by       
immigrants and their families4  7#d7    
,immigrant women are disproportionately 
of reproductive age1 low-income1 and    
lacking health insurance coverage4      
,legal barriers to affordable health    
insurance coverage therefore            
particularly exacerbate their risk of   
negative sexual1 reproductive1 and      
maternal health outcomes1 with lasting  
health and economic consequences for    
immigrant women1 their families1 and    
society as a whole4  7#e7 ,denying      
coverage or imposing waiting periods for
 coverage unfairly hinders the ability  
of immigrants to take responsibility for
 their own health and economic          
well-being and that of their families4  
,to fully and productively participate  
in society1 access to health care is    
fundamental1 which for women includes   
access to the services necessary to plan
 whether and when to have a child4  7#f7
 ,the population of immigrant families  

in the ,united ,states is expected to   
continue to grow4 ,indeed one in five   
children in the ,united ,states is part 
of an immigrant family4 ,it is therefore
 in the nation's shared public health   
and economic interest to remove legal   
barriers to affordable health insurance 
coverage based on immigration status4   
#c4 ,removing barriers to health        
coverage for lawfully present           
individuals  7a7 ,medicaid ,section     
#aijc7v77#d7 of the ,social ,security   
,act 7#db ,u4,s4,c4 #acif;b7v77#d77 is  
amended--  7#a7 by amending subparagraph
 7,a7 to read as follows3  7,a7         
,notwithstanding sections #dja7;a71     
#djb7;b71 #djc1 and #dba of the         
,personal ,responsibility and ,work     
,opportunity ,reconciliation ,act of    
#aiif1 payment shall be made under this 
section for care and services that are  
furnished to aliens1 including those    
described in paragraph 7#a71 if they    
otherwise meet the eligibility          
requirements for medical assistance     

under the ,state plan approved under    
this title 7other than the requirement  
of the receipt of aid or assistance     
under title ,,iv1 supplemental security 
income benefits under title ,,xvi1 or a 
,state supplementary payment71 and are  
lawfully present in the ,united ,states4
  2  7#b7 in subparagraph 7,b7--  7,a7  
by striking a ,state that has elected to
 provide medical assistance to a        
category of aliens under subparagraph   
7,a7 and inserting aliens provided      
medical assistance pursuant to          
subparagraph 7,a72 and  7,b7 by striking
 to such category and inserting to such 
alien2 and  7#c7 in subparagraph 7,c7-- 
7,a7 by striking an election by the     
,state under subparagraph 7,a7 and      
inserting the application of            
subparagraph 7,a72  7,b7 by inserting or
 be lawfully present after lawfully     
reside2 and  7,c7 by inserting or       
present after lawfully residing each    
place it appears4  7b7 ,,chip           
,subparagraph 7,j7 of section           

#bajg7;e77#a7 of the ,social ,security  
,act 7#db ,u4,s4,c4 #acig;gg7e77#a77 is 
amended to read as follows3  7,j7       
,paragraph 7#d7 of section #aijc7v7     
7relating to lawfully present           
individuals74  4  7c7 ,effective date   
7#a7 ,in general ,except as provided in 
paragraph 7#b71 the amendments made by  
this section shall take effect on the   
date of the enactment of this ,act and  
shall apply to services furnished on or 
after the date that is #ij days after   
such date of the enactment4  7#b7       
,exception if state legislation required
 ,in the case of a ,state plan for      
medical assistance under title ,,xix1 or
 a ,state child health plan under title 
,,xxi1 of the ,social ,security ,act    
which the ,secretary of ,health and     
,human ,services determines requires    
,state legislation 7other than          
legislation appropriating funds7 in     
order for the plan to meet the          
additional requirements imposed by the  
amendments made by this section1 the    

respective ,state plan shall not be     
regarded as failing to comply with the  
requirements of such title solely on the
 basis of its failure to meet these     
additional requirements before the first
 day of the first calendar quarter      
beginning after the close of the first  
regular session of the ,state           
legislature that begins after the date  
of the enactment of this ,act4 ,for     
purposes of the previous sentence1 in   
the case of a ,state that has a #b-year 
legislative session1 each year of such  
session shall be deemed to be a separate
 regular session of the ,state          
legislature4  #d4 ,removing barriers to 
health coverage for individuals granted 
deferred action for childhood arrivals  
7a7 ,in general ,for the purposes of    
eligibility under any of the provisions 
referred to in subsection 7b71          
individuals granted deferred action     
under the ,deferred ,action for         
,childhood ,arrivals process of the     
,department of ,homeland ,security1 as  

described in the memorandum of the      
,secretary of ,homeland ,security on    
,june #ae1 #bjab1 shall be considered   
lawfully present in the ,united ,states4
  7b7 ,provisions described ,the        
provisions described in this subsection 
are the following3  7#a7 ,exchange      
eligibility ,section #acaa of the       
,patient ,protection and ,affordable    
,care ,act 7#db ,u4,s4,c4 #ahjca74  7#b7
 ,reduced cost-sharing eligibility      
,section #adjb of the ,patient          
,protection and ,affordable ,care ,act  
7#db ,u4,s4,c4 #ahjga74  7#c7 ,premium  
subsidy eligibility ,section #cf;,b of  
the ,internal ,revenue ,code of #aihf4  
7#d7 ,medicaid and ,,chip eligibility   
,titles ,,xix and ,,xxi of the ,social  
,security ,act1 including under section 
#aijc7v7 of such ,act 7#db ,u4,s4,c4    
#acif;b7v774  7c7 ,effective date  7#a7 
,in general ,subsection 7a7 shall take  
effect on the date of the enactment of  
this ,act4  7#b7 ,transition through    
special enrollment period ,in the case  

of an individual described in subsection
 7a7 who1 before the first day of the   
first annual open enrollment period     
under subparagraph 7,b7 of section      
#acaa7;c77#f7 of the ,patient           
,protection and ,affordable ,care ,act  
7#db ,u4,s4,c4 #ahjca7;c77#f77 beginning
 after the date of the enactment of this
 ,act1 is granted deferred action       
described in subsection 7a7 and who1 as 
a result of such subsection1 qualifies  
for a subsidy described in paragraph    
7#b7 or 7#c7 of such subsection1 the    
,secretary of ,health and ,human        
,services shall establish a special     
enrollment period under section         
#acaa7;c77#f77;,c7 of such ,act during  
which such individual may enroll in     
qualified health plans through          
,exchanges under title ,i of such ,act  
and qualify for such a subsidy4 ,for    
such an individual who has been granted 
deferred action as of the date of the   
enactment of this ,act1 such special    
enrollment period shall begin not later 

than #ij days after such date of        
enactment4 ,nothing in this paragraph   
shall be construed as affecting the     
authority of the ,secretary to establish
 additional special enrollment periods  
under section #acaa7;c77#f77;,c7 of the 
,patient ,protection and ,affordable    
,care ,act 7#db ,u4,s4,c4               
#ahjca7;c77#f77;,c774