failure to meet these additional requirements before 
the first day of the first calendar quarter beginning 
after the close of the first regular session of the 
State legislature that begins after the date of the en-
actment of this Act. For purposes of the previous 
sentence, in the case of a State that has a 2-year 
legislative session, each year of such session shall be 
deemed to be a separate regular session of the State 
legislature. 
SEC. 4. REMOVING BARRIERS TO HEALTH COVERAGE FOR 
INDIVIDUALS GRANTED DEFERRED ACTION 
FOR CHILDHOOD ARRIVALS. 
(a) IN GENERAL.—For the purposes of eligibility 
under any of the provisions referred to in subsection (b), 
individuals granted deferred action under the Deferred Ac-
tion for Childhood Arrivals process of the Department of 
Homeland Security, as described in the memorandum of 
the Secretary of Homeland Security on June 15, 2012, 
shall be considered lawfully present in the United States. 
(b) PROVISIONS DESCRIBED.—The provisions de-
scribed in this subsection are the following: 
(1) EXCHANGE ELIGIBILITY.—Section 1311 of 
the Patient Protection and Affordable Care Act (42 
U.S.C. 18031). 
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(2) REDUCED
COST-SHARING
ELIGIBILITY.— 
Section 1402 of the Patient Protection and Afford-
able Care Act (42 U.S.C. 18071). 
(3) PREMIUM
SUBSIDY
ELIGIBILITY.—Section 
36B of the Internal Revenue Code of 1986. 
(4) MEDICAID AND CHIP ELIGIBILITY.—Titles 
XIX and XXI of the Social Security Act, including 
under section 1903(v) of such Act (42 U.S.C. 
1396b(v)). 
(c) EFFECTIVE DATE.— 
(1) IN GENERAL.—Subsection (a) shall take ef-
fect on the date of the enactment of this Act. 
(2) TRANSITION
THROUGH
SPECIAL
ENROLL-
MENT
PERIOD.—In the case of an individual de-
scribed in subsection (a) who, before the first day of 
the first annual open enrollment period under sub-
paragraph (B) of section 1311(c)(6) of the Patient 
Protection and Affordable Care Act (42 U.S.C. 
18031(c)(6)) beginning after the date of the enact-
ment of this Act, is granted deferred action de-
scribed in subsection (a) and who, as a result of 
such subsection, qualifies for a subsidy described in 
paragraph (2) or (3) of such subsection, the Sec-
retary of Health and Human Services shall establish 
a 
special 
enrollment 
period 
under 
section 
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1311(c)(6)(C) of such Act during which such indi-
vidual may enroll in qualified health plans through 
Exchanges under title I of such Act and qualify for 
such a subsidy. For such an individual who has been 
granted deferred action as of the date of the enact-
ment of this Act, such special enrollment period 
shall begin not later than 90 days after such date 
of enactment. Nothing in this paragraph shall be 
construed as affecting the authority of the Secretary 
to establish additional special enrollment periods 
under section 1311(c)(6)(C) of the Patient Protec-
tion 
and 
Affordable 
Care 
Act 
(42 
U.S.C. 
18031(c)(6)(C)). 
Æ 
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