Contact Congress about H.R. 4104: Health Equity and Access under the Law for Immigrant Families Act of 2025

More immigrants could sign up for public or low-cost health coverage. States could also choose to cover some people without lawful status through Medicaid or CHIP. The bill would not make every change automatic in every state.

Modern Action explains legislation in plain English, helps you choose whether to support, oppose, or ask for changes, and drafts a message tied to the bill, your stance, and the elected officials who can act on it.

Health Equity and Access under the Law for Immigrant Families Act of 2025 is a House bill in committee. The latest recorded action: 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.

Latest action on H.R. 4104: 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.

Who this affects: This bill mainly affects immigrant families who need health coverage. It matters most for lawfully present immigrants, people with federally authorized presence, children, pregnant people, and families with mixed immigration status. It also affects states because they would decide whether to use the new Medicaid and CHIP options for people without lawful status.

Why this matters: Many immigrant families have limited ways to get health coverage today, and this bill would open more doors. It could help more people get regular care instead of waiting until health problems become emergencies. It could also shift some costs from families and hospitals to federal and state health programs. The size of the effect would depend on enrollment and on whether states choose the optional coverage expansions.

Key provisions in H.R. 4104

• States would have to offer Medicaid to more lawfully residing immigrants. The person would still need to meet the normal Medicaid rules, and the bill includes certain abused immigrants and people with approved or pending deferred action or other federally authorized presence.
• Sponsors of lawfully residing immigrants could not be charged for Medicaid costs as a debt. Those costs also would not count as unpaid costs owed by the sponsor.
• CHIP would follow the updated Medicaid rule for lawfully present people. CHIP is the Children's Health Insurance Program for children in lower-income families.
• People with federally authorized presence would count as lawfully present for several health programs. That would affect Affordable Care Act marketplace plans, premium tax credits, cost-sharing reductions, Medicaid, and CHIP.
• The Health and Human Services Secretary would have to create a special sign-up period. Newly eligible people with federally authorized presence could enroll in marketplace plans and get subsidies outside regular open enrollment.

How Modern Action helps you take action on H.R. 4104

You do not have to start with a blank letter. Modern Action turns the bill, your position, and the relevant congressional context into a message you can edit and send. The goal is to make contacting Congress clear, specific, and useful without forcing you to parse bill text or figure out the right office on your own.

Questions people ask about H.R. 4104

What is H.R. 4104?

More immigrants could sign up for public or low-cost health coverage. States could also choose to cover some people without lawful status through Medicaid or CHIP. The bill would not make every change automatic in every state.

How do I support or oppose H.R. 4104?

Choose support, oppose, or ask for changes on Modern Action. The action flow drafts the message for you and keeps the wording tied to this bill.

Who should I contact about H.R. 4104?

Modern Action uses your location to route the action to the congressional offices relevant to the bill and your representation.

Can Modern Action explain H.R. 4104 before I act?

Yes. Modern Action gives you a plain-English summary, current status, and action context before you send anything.