I 

116TH CONGRESS 

2D SESSION H. R. 9008 

To remove barriers to health care and nutrition assistance for children, 

pregnant persons, and lawfully present individuals, under the Medicaid 

program under title XIX of the Social Security Act, the Children’s 

Health Insurance Program under title XXI of such Act, and under 

the supplemental nutrition assistance program under the Food and Nutrition Act of 2008, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

DECEMBER 17, 2020 

Mr. GARCI ́A of Illinois introduced the following bill; which was referred to the 

Committee on Energy and Commerce, and in addition to the Committee 

on Agriculture, 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 

A BILL 

To remove barriers to health care and nutrition assistance 

for children, pregnant persons, and lawfully present individuals, under the Medicaid program under title XIX 

of the Social Security Act, the Children’s Health Insurance Program under title XXI of such Act, and under 

the supplemental nutrition assistance program under the 

Food and Nutrition Act of 2008, and for other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 


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1 SECTION 1. SHORT TITLE. 

2 This Act may be cited as the ‘‘Health and Nutrition 

3 Access for All Act’’. 

4 SEC. 2. REMOVING BARRIERS TO HEALTH CARE AND NU5 TRITION ASSISTANCE FOR CHILDREN, PREG6 NANT PERSONS, AND LAWFULLY PRESENT IN7 DIVIDUALS. 

8 (a) MEDICAID.—Section 1903(v) of the Social Secu9 rity Act (42 U.S.C. 1396b(v)) is amended by striking 

10 paragraph (4) and inserting the following new paragraph: 

11 ‘‘(4)(A) Notwithstanding sections 401(a), 402(b), 

12 403, and 421 of the Personal Responsibility and Work Op13 portunity Reconciliation Act of 1996 and paragraph (1), 

14 payment shall be made to a State under this section for 

15 medical assistance furnished to an alien under this title 

16 (including an alien described in such paragraph) who 

17 meets any of the following conditions: 

18 ‘‘(i) The alien is otherwise eligible for such as19 sistance under the State plan approved under this 

20 title (other than the requirement of the receipt of 

21 aid or assistance under title IV, supplemental secu22 rity income benefits under title XVI, or a State sup23 plementary payment) within either or both of the 

24 following eligibility categories: 

25 ‘‘(I) Children under 21 years of age, in26 cluding any optional targeted low-income child 


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1 (as such term is defined in section 

2 1905(u)(2)(B)). 

3 ‘‘(II) Pregnant persons during pregnancy 

4 and during the 12-month period beginning on 

5 the last day of the pregnancy. 

6 ‘‘(ii) The alien is lawfully present in the United 

7 States. 

8 ‘‘(B) No debt shall accrue under an affidavit of sup9 port against any sponsor of an alien who meets the condi10 tions specified in subparagraph (A) on the basis of the 

11 provision of medical assistance to such alien under this 

12 paragraph and the cost of such assistance shall not be con13 sidered as an unreimbursed cost.’’. 

14 (b) SCHIP.—Subparagraph (N) of section 

15 2107(e)(1) of the Social Security Act (42 U.S.C. 

16 1397gg(e)(1)) is amended to read as follows: 

17 ‘‘(N) Paragraph (4) of section 1903(v) (re18 lating to coverage of categories of children, 

19 pregnant persons, and other lawfully present in20 dividuals).’’. 

21 (c) SUPPLEMENTAL NUTRITION ASSISTANCE.—Not22 withstanding sections 401(a), 402(a), and 403(a) of the 

23 Personal Responsibility and Work Opportunity Reconcili24 ation Act of 1996 (8 U.S.C. 1611(a); 1612(a); 1613(a)) 

25 and section 6(f) of the Food and Nutrition Act of 2008 


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1 (7 U.S.C. 2015(f)), persons who are lawfully present in 

2 the United States shall not be ineligible for benefits under 

3 the supplemental nutrition assistance program on the 

4 basis of their immigration status or date of entry into the 

5 United States. 

6 (d) ELIGIBILITY FOR FAMILIES WITH CHILDREN.— 

7 Section 421(d)(3) of the Personal Responsibility and 

8 Work Opportunity Reconciliation Act of 1996 (8 U.S.C. 

9 1631(d)(3)) is amended by striking ‘‘to the extent that 

10 a qualified alien is eligible under section 402(a)(2)(J)’’ 

11 and inserting, ‘‘to the extent that a child is a member of 

12 a household under the supplemental nutrition assistance 

13 program’’. 

14 (e) ENSURING PROPER SCREENING.—Section 

15 11(e)(2)(B) of the Food and Nutrition Act of 2008 (7 

16 U.S.C. 2020(e)(2)(B)) is amended— 

17 (1) by redesignating clauses (vi) and (vii) as 

18 clauses (vii) and (viii); and 

19 (2) by inserting after clause (v) the following: 

20 ‘‘(vi) shall provide a method for imple21 menting section 421 of the Personal Re22 sponsibility and Work Opportunity Rec23 onciliation Act of 1996 (8 U.S.C. 1631) 

24 that does not require any unnecessary inVerDate Sep 11 2014 20:53 Jan 15, 2021 Jkt 019200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\H9008.IH H9008

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1 formation from persons who may be ex2 empt from that provision;’’. 

Æ 


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