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Contact Congress about H.R. 5008: HEAL for Immigrant Families Act of 2023

More immigrants could get Medicaid, CHIP, marketplace help, or some Medicare coverage. States would have to cover lawfully present immigrants who meet normal rules. They could choose whether to cover people without lawful status.

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.

HEAL for Immigrant Families Act of 2023 is a House bill in Congress.

Who this affects: This bill mainly affects immigrant families who cannot get public or subsidized health coverage under current rules. It especially affects lawfully present immigrants, people with deferred action, children, pregnant people, and older adults who may qualify for Medicare. It also affects states, because every state would have to cover lawfully present immigrants in Medicaid and CHIP. States would decide whether to cover people without lawful status.

Why this matters: Many immigrant families could have new ways to get regular health care instead of going uninsured. The bill would make health coverage rules broader and more consistent for people with lawful or federally allowed presence. It could also create large changes for state health programs. Some costs and enrollment effects are uncertain because the bill does not say how many people would sign up or which states would cover people without lawful status.

Key provisions in H.R. 5008

  • States would have to give full Medicaid benefits to lawfully residing people in the United States. People would still need to meet the normal Medicaid rules, such as income rules.
  • Lawfully present immigrants could qualify for Medicaid and CHIP. This includes people with approved or pending deferred action, or other federal permission to be in the country.
  • Sponsors could not be billed for Medicaid help covered by these new rules. This means an affidavit of support debt could not be collected for that Medicaid assistance.
  • People with federal permission to be in the United States would count as lawfully present for major health programs. That applies to 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 federal permission to be here could use it to join marketplace plans and get financial help.

How Modern Action helps you take action on H.R. 5008

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. 5008

What is H.R. 5008?
More immigrants could get Medicaid, CHIP, marketplace help, or some Medicare coverage. States would have to cover lawfully present immigrants who meet normal rules. They could choose whether to cover people without lawful status.
How do I support or oppose H.R. 5008?
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. 5008?
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. 5008 before I act?
Yes. Modern Action gives you a plain-English summary, current status, and action context before you send anything.

Keep acting on Modern Action

More ways to act on this issue

Compare the broader issue and related bills without leaving Modern Action.

Related issues

  • Contact your reps on Benefits Counted or Kept AvailableWhether Medicaid, SNAP, housing assistance, cash aid, ACA subsidies, school meals, WIC, disaster aid, student aid, and other federal, state, local, or tribal benefits should count in public-charge reviews or remain available without immigration penalties.
  • Contact your reps on Health Coverage and Public-Charge ConcernsWhether immigrants with lawful presence, federally authorized presence, or other covered statuses should be eligible for Medicaid, CHIP, Medicare, ACA marketplace coverage, subsidies, and state health options without public-charge chilling effects.
  • Contact your reps on Sponsors, Financial Tests, Bonds, and Family SupportHow much responsibility immigrant sponsors, applicants, or family members should carry through income documentation, affidavits of support, repayment liability, health-insurance duties, public-charge bonds, and private-support promises.

Related bills

  • Take action on S. 3602: Public Charge Clarification Act of 2026
  • Take action on S. 62: America First Act
  • Take action on H.R. 9432: LIFT the BAR Act
  • Take action on H.R. 746: America First Act
  • Take action on H.R. 4170: LIFT the BAR Act
  • Take action on S. 3386: Health Care Freedom for Patients Act of 2025
  • Take action on H.R. 6987: Public Charge Clarification Act of 2026
  • Take action on S. 2149: Health Equity and Access under the Law for Immigrant Families Act of 2025