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Contact Congress about S. 2646: HEAL for Immigrant Families Act of 2023

More immigrants could get health coverage through Medicaid, CHIP, Medicare, or Affordable Care Act plans. States could also choose to cover people without lawful immigration status under Medicaid and CHIP.

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 Senate bill in Congress.

Who this affects: This bill mainly affects immigrant families who are uninsured or shut out of health programs because of immigration status. It also affects states, health agencies, sponsors of immigrants, and hospitals that now provide unpaid or emergency-only care.

Why this matters: Many immigrants have few health coverage options today because of immigration status. This bill could let more families get regular insurance instead of going without care or relying on emergency care. It could also make rules more consistent across programs. The cost and reach would depend on enrollment, federal action, and whether states use the new option.

Key provisions in S. 2646

  • State Medicaid programs would have to cover people who lawfully live in the United States and meet normal Medicaid rules. This includes certain abused immigrants and people with approved or pending deferred action or other federal permission to be here.
  • Sponsors of immigrants would not be billed for Medicaid costs under this new rule. No debt would build up under affidavits of support, which are financial promises sponsors make in immigration cases.
  • The Medicaid lawful-presence rules would also apply to CHIP, the Children’s Health Insurance Program. This would make rules more consistent for children and pregnant people, including some lawfully present and certain undocumented immigrants.
  • Anyone with federal permission to be in the United States would count as lawfully present for major health coverage rules. That includes Affordable Care Act marketplace plans, help with out-of-pocket costs, premium tax credits, Medicaid, and CHIP.
  • The Department of Health and Human Services would create a special sign-up period for Affordable Care Act marketplace plans. Newly recognized lawfully present people could enroll and seek financial help soon after the law takes effect.

How Modern Action helps you take action on S. 2646

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 S. 2646

What is S. 2646?
More immigrants could get health coverage through Medicaid, CHIP, Medicare, or Affordable Care Act plans. States could also choose to cover people without lawful immigration status under Medicaid and CHIP.
How do I support or oppose S. 2646?
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 S. 2646?
Modern Action uses your location to route the action to the congressional offices relevant to the bill and your representation.
Can Modern Action explain S. 2646 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 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.

Related bills

  • Take action on H.R. 1: An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
  • Take action on H.R. 5008: HEAL for Immigrant Families Act of 2023
  • Take action on H.R. 4170: LIFT the BAR Act
  • Take action on S. 2149: Health Equity and Access under the Law for Immigrant Families Act of 2025
  • Take action on S. 2038: LIFT the BAR Act of 2023
  • Take action on H.R. 4104: Health Equity and Access under the Law for Immigrant Families Act of 2025