accordance with Federal standards specified in, or estab-
lished under, this Act. 
(b) STATE HEALTH SECURITY PROGRAMS.—In order 
for a State to be eligible to receive payment under section 
604, a State must establish a State health security pro-
gram in accordance with this Act. 
(c) STATE DEFINED.— 
(1) IN GENERAL.—In this Act, subject to para-
graph (2), the term ‘‘State’’ means each of the 50 
States and the District of Columbia. 
(2) ELECTION.—If the Governor of Puerto 
Rico, the Virgin Islands, Guam, American Samoa, or 
the Northern Mariana Islands certifies to the Presi-
dent that the legislature of the Commonwealth or 
territory has enacted legislation desiring that the 
Commonwealth or territory be included as a State 
under the provisions of this Act, such Common-
wealth or territory shall be included as a ‘‘State’’ 
under this Act beginning January 1 of the first year 
beginning 90 days after the President receives the 
notification. 
SEC. 102. UNIVERSAL ENTITLEMENT. 
(a) IN GENERAL.—Every individual who is a resident 
of the United States and is a citizen or national of the 
United States or lawful resident alien (as defined in sub-
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section (d)) is entitled to benefits for health care services 
under this Act under the appropriate State health security 
program. In this section, the term ‘‘appropriate State 
health security program’’ means, with respect to an indi-
vidual, the State health security program for the State in 
which the individual maintains a primary residence. 
(b) TREATMENT OF CERTAIN NONIMMIGRANTS.— 
(1) IN GENERAL.—The American Health Secu-
rity Standards Board (in this Act referred to as the 
‘‘Board’’) may make eligible for benefits for health 
care services under the appropriate State health se-
curity program under this Act such classes of aliens 
admitted to the United States as nonimmigrants as 
the Board may provide. 
(2) CONSIDERATION.—In providing for eligi-
bility under paragraph (1), the Board shall consider 
reciprocity in health care services offered to United 
States citizens who are nonimmigrants in other for-
eign states, and such other factors as the Board de-
termines to be appropriate. 
(c) TREATMENT OF OTHER INDIVIDUALS.— 
(1) BY BOARD.—The Board also may make eli-
gible for benefits for health care services under the 
appropriate State health security program under this 
Act other individuals not described in subsection (a) 
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or (b), and regulate the nature of the eligibility of 
such individuals, in order— 
(A) to preserve the public health of com-
munities; 
(B) to compensate States for the addi-
tional health care financing burdens created by 
such individuals; and 
(C) to prevent adverse financial and med-
ical consequences of uncompensated care, 
while inhibiting travel and immigration to the 
United States for the sole purpose of obtaining 
health care services. 
(2) BY STATES.—Any State health security pro-
gram may make individuals described in paragraph 
(1) eligible for benefits at the expense of the State. 
(d) LAWFUL RESIDENT ALIEN DEFINED.—For pur-
poses of this section, the term ‘‘lawful resident alien’’ 
means an alien lawfully admitted for permanent residence 
and any other alien lawfully residing permanently in the 
United States under color of law, including an alien with 
lawful temporary resident status under section 210, 210A, 
or 234A of the Immigration and Nationality Act (8 U.S.C. 
1160, 1161, or 1255a). 
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