MD House passes bill allowing illegal immigrants access to state health exchange

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The Maryland House authorized a measure on Friday to allow individuals to purchase health insurance coverage by the state’s health care exchange no matter their immigration standing, with the approval of a federal waiver.

The House voted 101-34 for the bill, which now goes to the Senate, the place related laws is into account.

The measure would require the Maryland Health Benefit Exchange to submit a federal waiver software by July 1, 2025, to implement this system. The waiver is required due to federal restrictions on undocumented immigrants utilizing {the marketplace}. Washington state obtained such a waiver from the Centers for Medicare and Medicaid Services in late 2022. The program in Maryland might begin as early as 2026, if a waiver is granted.

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Maryland’s health care exchange was created through the 2011 legislative session to present a market for individuals and small companies to buy inexpensive health protection. Through the Maryland Health Connection, Maryland residents can store for health insurance coverage and examine charges.

Since Maryland created its health care exchange by the federal Affordable Care Act and expanded Medicaid, the state has lower the variety of uninsured residents by greater than 50%, from about 756,000 to about 350,000, or about 6% of the state’s inhabitants, mentioned Del. Joseline Pena-Melnyk, who chairs the House Health and Government Operations Committee.

Joseline Pena-Melnyk

Democratic Maryland Del. Joseline Pena-Melnyk speaks on the state Capitol in Annapolis, Maryland, on Friday, Feb. 23, 2024. (AP Photo/Brian Witte)

Of the state’s remaining uninsured, about 256,000 of them are undocumented immigrants, Pena-Melnyk mentioned. She identified that undocumented immigrants who join health insurance coverage by the exchange work within the state, pay taxes within the state and pays for the plans.

“It’s preventive medicine, cheaper when it’s preventive, and it helps all of us. This is not free, not free, not free,” Pena-Melnyk mentioned for emphasis.

But Del. Mark Fisher, a Calvert County Republican, contended that Maryland residents who’re U.S. residents typically have lengthy wait instances to get physician’s appointments, and he questioned why the state ought to broaden health insurance coverage protection by the state’s exchange to individuals who aren’t residents.

“The term health equity is meaningless if you can’t get access to a doctor, absolutely nonsense, and that’s the experience that we’re having throughout the state, and certainly in Calvert County,” Fisher mentioned. “I just do not understand why folks believe that when you are a citizen of the United States that you should get into a queue behind folks who are not citizens of the United States.”

But Pena-Melnyk mentioned the measure would assist everybody as a result of when individuals with out health insurance coverage want care, they find yourself going to emergency rooms the place medical prices are larger.

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“It saves us a lot of money, because guess what? Hospitals last year spent anywhere between $120 million and $150 million in uncompensated care,” Pena-Melnyk, a Prince George’s County Democrat, mentioned through the debate Friday, whereas additionally noting that Maryland has the worst emergency room ready instances within the nation.

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