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 Nutri-
tion 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 Speak-
er, in each case for consideration of such provisions as fall within the ju-
risdiction of the committee concerned 
A BILL 
To remove barriers to health care and nutrition assistance 
for children, pregnant persons, and lawfully present indi-
viduals, under the Medicaid program under title XIX 
of the Social Security Act, the Children’s Health Insur-
ance 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. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Health and Nutrition 
Access for All Act’’. 
SEC. 2. REMOVING BARRIERS TO HEALTH CARE AND NU-
TRITION ASSISTANCE FOR CHILDREN, PREG-
NANT PERSONS, AND LAWFULLY PRESENT IN-
DIVIDUALS. 
(a) MEDICAID.—Section 1903(v) of the Social Secu-
rity Act (42 U.S.C. 1396b(v)) is amended by striking 
paragraph (4) and inserting the following new paragraph: 
‘‘(4)(A) Notwithstanding sections 401(a), 402(b), 
403, and 421 of the Personal Responsibility and Work Op-
portunity Reconciliation Act of 1996 and paragraph (1), 
payment shall be made to a State under this section for 
medical assistance furnished to an alien under this title 
(including an alien described in such paragraph) who 
meets any of the following conditions: 
‘‘(i) The alien is otherwise eligible for such as-
sistance under the State plan approved under this 
title (other than the requirement of the receipt of 
aid or assistance under title IV, supplemental secu-
rity income benefits under title XVI, or a State sup-
plementary payment) within either or both of the 
following eligibility categories: 
‘‘(I) Children under 21 years of age, in-
cluding any optional targeted low-income child 
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(as 
such 
term 
is 
defined 
in 
section 
1905(u)(2)(B)). 
‘‘(II) Pregnant persons during pregnancy 
and during the 12-month period beginning on 
the last day of the pregnancy. 
‘‘(ii) The alien is lawfully present in the United 
States. 
‘‘(B) No debt shall accrue under an affidavit of sup-
port against any sponsor of an alien who meets the condi-
tions specified in subparagraph (A) on the basis of the 
provision of medical assistance to such alien under this 
paragraph and the cost of such assistance shall not be con-
sidered as an unreimbursed cost.’’. 
(b) 
SCHIP.—Subparagraph 
(N) 
of 
section 
2107(e)(1) of the Social Security Act (42 U.S.C. 
1397gg(e)(1)) is amended to read as follows: 
‘‘(N) Paragraph (4) of section 1903(v) (re-
lating to coverage of categories of children, 
pregnant persons, and other lawfully present in-
dividuals).’’. 
(c) SUPPLEMENTAL NUTRITION ASSISTANCE.—Not-
withstanding sections 401(a), 402(a), and 403(a) of the 
Personal Responsibility and Work Opportunity Reconcili-
ation Act of 1996 (8 U.S.C. 1611(a); 1612(a); 1613(a)) 
and section 6(f) of the Food and Nutrition Act of 2008 
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(7 U.S.C. 2015(f)), persons who are lawfully present in 
the United States shall not be ineligible for benefits under 
the supplemental nutrition assistance program on the 
basis of their immigration status or date of entry into the 
United States. 
(d) ELIGIBILITY FOR FAMILIES WITH CHILDREN.— 
Section 421(d)(3) of the Personal Responsibility and 
Work Opportunity Reconciliation Act of 1996 (8 U.S.C. 
1631(d)(3)) is amended by striking ‘‘to the extent that 
a qualified alien is eligible under section 402(a)(2)(J)’’ 
and inserting, ‘‘to the extent that a child is a member of 
a household under the supplemental nutrition assistance 
program’’. 
(e) 
ENSURING
PROPER
SCREENING.—Section 
11(e)(2)(B) of the Food and Nutrition Act of 2008 (7 
U.S.C. 2020(e)(2)(B)) is amended— 
(1) by redesignating clauses (vi) and (vii) as 
clauses (vii) and (viii); and 
(2) by inserting after clause (v) the following: 
‘‘(vi) shall provide a method for imple-
menting section 421 of the Personal Re-
sponsibility and Work Opportunity Rec-
onciliation Act of 1996 (8 U.S.C. 1631) 
that does not require any unnecessary in-
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formation from persons who may be ex-
empt from that provision;’’. 
Æ 
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