,i #aac? ,,congress #b;d ,session ,h4 ,r4 #dbdj ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,m>* #ac1 #bjad ,ms4 ,mi*elle ,lujan ,gri%am ( ,new ,mexico 7= h]self1 ,ms4 ,lee ( ,cali=nia1 ,ms4 ,norton1 ,mrs4 ,*ri/5s51 ,ms4 ,fudge1 ,mr4 ,gutirrez1 ,ms4 ,roybal-,all>d1 ,mr4 ,veasey1 ,mr4 ,crd5as1 ,mr4 ,grijalva1 ,ms4 ,br[n ( ,florida1 ,mr4 ,ha/+s ( ,florida1 ,ms4 ,l9da ,t4 ,sn*ez ( ,cali=nia1 ,ms4 ,p+ree ( ,ma9e1 ,ms4 ,s*ak[sky1 ,mr4 ,v>gas1 & ,mrs4 ,napolitano7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce1 & 9 addition to ! ,committee on ,ways & ,means1 = a p]iod to be subsequ5tly det]m9$ by ! ,speak]1 9 ea* case = consid]ation ( su* provisions z fall )9 ! jurisdiction ( ! committee conc]n$ ,a ,,bill ,to exp& access to heal? c>e s]vices1 includ+ sexual1 reproductive1 & mat]nal heal? s]vices1 = immigrant wom51 m51 & families by remov+ legal b>ri]s to heal? insurance cov]age1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,heal? ,equity & ,access "u ! ,law = ,immigrant ,wom5 & ,families ,act ( #bjad or z ! ,,heal ,immigrant ,wom5 & ,families ,act ( #bjad 4 #b4 ,f9d+s ,congress f9ds z foll[s3 7#a7 ,insurance cov]age r$uces h>mful heal? disp>ities by alleviat+ co/ b>ri]s to & increas+ utilization ( basic prev5tive heal? s]vices1 especially among l[-income & und]s]v$ populations1 & especially among wom54 7#b7 ,bas$ solely on _! immigration /atus1 _m immigrants & _! families face legal re/rictions on _! ability to obta9 heal? insurance cov]age ?r\gh ,m$icaid1 ,,*ip1 & ,heal? ,insurance ,ex*anges4 7#c7 ,lack ( heal? insurance contributes to p]si/5t disp>ities 9 ! prev5tion1 diagnosis1 & treatm5t ( negative heal? outcomes borne by immigrants & _! families4 7#d7 ,immigrant wom5 are disproportionately ( reproductive age1 l[-income1 & lack+ heal? insurance cov]age4 ,legal b>ri]s to af=dable heal? insurance cov]age !re=e p>ticul>ly exac]bate _! risk ( negative sexual1 reproductive1 & mat]nal heal? outcomes1 ) la/+ heal? & economic consequ5ces = immigrant wom51 _! families1 & society z a :ole4 7#e7 ,d5y+ cov]age or impos+ wait+ p]iods = cov]age unfairly h9d]s ! ability ( immigrants to take responsibility = _! own heal? & economic well-be+ & t ( _! families4 ,to fully & productively p>ticipate 9 society1 access to heal? c>e is fundam5tal1 :i* = wom5 includes access to ! s]vices necess>y to plan :e!r & :5 to h a *ild4 7#f7 ,! population ( immigrant families 9 ! ,unit$ ,/ates is expect$ to cont9ue to gr[4 ,inde$ "o 9 five *ildr5 9 ! ,unit$ ,/ates is "p ( an immigrant family4 ,x is !re=e 9 ! nation's %>$ public heal? & economic int]e/ to remove legal b>ri]s to af=dable heal? insurance cov]age bas$ on immigration /atus4 #c4 ,remov+ b>ri]s to heal? cov]age = lawfully pres5t individuals 7a7 ,m$icaid ,section #aijc7v77#d7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;b7v77#d77 is am5d$-- 7#a7 by am5d+ subp>agraph 7,a7 to read z foll[s3 7,a7 ,not)/&+ sections #dja7;a71 #djb7;b71 #djc1 & #dba ( ! ,p]sonal ,responsibility & ,"w ,opportunity ,reconciliation ,act ( #aiif1 paym5t %all be made "u ?is section = c>e & s]vices t are furni%$ to ali5s1 includ+ ^? describ$ 9 p>agraph 7#a71 if !y o!rwise meet ! eligibility requirem5ts = m$ical assi/ance "u ! ,/ate plan approv$ "u ?is title 7o!r ?an ! requirem5t ( ! receipt ( aid or assi/ance "u title ,,iv1 supplem5tal security income b5efits "u title ,,xvi1 or a ,/ate supplem5t>y paym5t71 & are lawfully pres5t 9 ! ,unit$ ,/ates4 2 7#b7 9 subp>agraph 7,b7-- 7,a7 by /rik+ a ,/ate t has elect$ to provide m$ical assi/ance to a category ( ali5s "u subp>agraph 7,a7 & ins]t+ ali5s provid$ m$ical assi/ance pursuant to subp>agraph 7,a72 & 7,b7 by /rik+ to su* category & ins]t+ to su* ali52 & 7#c7 9 subp>agraph 7,c7-- 7,a7 by /rik+ an election by ! ,/ate "u subp>agraph 7,a7 & ins]t+ ! application ( subp>agraph 7,a72 7,b7 by ins]t+ or be lawfully pres5t aft] lawfully reside2 & 7,c7 by ins]t+ or pres5t aft] lawfully resid+ ea* place x appe>s4 7b7 ,,*ip ,subp>agraph 7,j7 ( section #bajg7;e77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;gg7e77#a77 is am5d$ to read z foll[s3 7,j7 ,p>agraph 7#d7 ( section #aijc7v7 7relat+ to lawfully pres5t individuals74 4 7c7 ,effective date 7#a7 ,9 g5]al ,except z provid$ 9 p>agraph 7#b71 ! am5dm5ts made by ?is section %all take effect on ! date ( ! enactm5t ( ?is ,act & %all apply to s]vices furni%$ on or aft] ! date t is #ij days aft] su* date ( ! enactm5t4 7#b7 ,exception if /ate legislation requir$ ,9 ! case ( a ,/ate plan = m$ical assi/ance "u title ,,xix1 or a ,/ate *ild heal? plan "u title ,,xxi1 ( ! ,social ,security ,act :i* ! ,secret>y ( ,heal? & ,human ,s]vices det]m9es requires ,/ate legislation 7o!r ?an legislation appropriat+ funds7 9 ord] = ! plan to meet ! additional requirem5ts impos$ by ! am5dm5ts made by ?is section1 ! respective ,/ate plan %all n be reg>d$ z fail+ to comply ) ! requirem5ts ( su* title solely on ! basis ( its failure to meet ^! additional requirem5ts be=e ! fir/ day ( ! fir/ cal5d> qu>t] beg9n+ aft] ! close ( ! fir/ regul> session ( ! ,/ate legislature t beg9s aft] ! date ( ! enactm5t ( ?is ,act4 ,= purposes ( ! previ\s s5t5ce1 9 ! case ( a ,/ate t has a #b-ye> legislative session1 ea* ye> ( su* session %all be deem$ to be a sep>ate regul> session ( ! ,/ate legislature4 #d4 ,remov+ b>ri]s to heal? cov]age = individuals grant$ def]r$ action = *ildhood arrivals 7a7 ,9 g5]al ,= ! purposes ( eligibility "u any ( ! provisions ref]r$ to 9 subsection 7b71 individuals grant$ def]r$ action "u ! ,def]r$ ,action = ,*ildhood ,arrivals process ( ! ,dep>tm5t ( ,homel& ,security1 z describ$ 9 ! memor&um ( ! ,secret>y ( ,homel& ,security on ,june #ae1 #bjab1 %all be consid]$ lawfully pres5t 9 ! ,unit$ ,/ates4 7b7 ,provisions describ$ ,! provisions describ$ 9 ?is subsection are ! foll[+3 7#a7 ,ex*ange eligibility ,section #acaa ( ! ,pati5t ,protection & ,af=dable ,c>e ,act 7#db ,u4,s4,c4 #ahjca74 7#b7 ,r$uc$ co/-%>+ eligibility ,section #adjb ( ! ,pati5t ,protection & ,af=dable ,c>e ,act 7#db ,u4,s4,c4 #ahjga74 7#c7 ,premium subsidy eligibility ,section #cf;,b ( ! ,int]nal ,rev5ue ,code ( #aihf4 7#d7 ,m$icaid & ,,*ip eligibility ,titles ,,xix & ,,xxi ( ! ,social ,security ,act1 includ+ "u section #aijc7v7 ( su* ,act 7#db ,u4,s4,c4 #acif;b7v774 7c7 ,effective date 7#a7 ,9 g5]al ,subsection 7a7 %all take effect on ! date ( ! enactm5t ( ?is ,act4 7#b7 ,transition ?r\gh special enrollm5t p]iod ,9 ! case ( an individual describ$ 9 subsection 7a7 :o1 be=e ! fir/ day ( ! fir/ annual op5 enrollm5t p]iod "u subp>agraph 7,b7 ( section #acaa7;c77#f7 ( ! ,pati5t ,protection & ,af=dable ,c>e ,act 7#db ,u4,s4,c4 #ahjca7;c77#f77 beg9n+ aft] ! date ( ! enactm5t ( ?is ,act1 is grant$ def]r$ action describ$ 9 subsection 7a7 & :o1 z a result ( su* subsection1 qualifies = a subsidy describ$ 9 p>agraph 7#b7 or 7#c7 ( su* subsection1 ! ,secret>y ( ,heal? & ,human ,s]vices %all e/abli% a special enrollm5t p]iod "u section #acaa7;c77#f77;,c7 ( su* ,act dur+ :i* su* individual may enroll 9 qualifi$ heal? plans ?r\gh ,ex*anges "u title ,i ( su* ,act & qualify = su* a subsidy4 ,= su* an individual :o has be5 grant$ def]r$ action z ( ! date ( ! enactm5t ( ?is ,act1 su* special enrollm5t p]iod %all beg9 n lat] ?an #ij days aft] su* date ( enactm5t4 ,no?+ 9 ?is p>agraph %all be con/ru$ z affect+ ! au?ority ( ! ,secret>y to e/abli% additional special enrollm5t p]iods "u section #acaa7;c77#f77;,c7 ( ! ,pati5t ,protection & ,af=dable ,c>e ,act 7#db ,u4,s4,c4 #ahjca7;c77#f77;,c774