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Treatment of Noncitizens in H.R. 3200

Noncitizens and Provisions in H.R. 3200

Exchange
Under H.R. 3200, a “Health Insurance Exchange” would begin operation in 2013 and would offer
private plans alongside a public option. The Exchange would not be an insurer; it would provide
eligible individuals and small businesses with access to insurers’ plans, including the public
option, in a comparable way. Individuals would only be eligible to enroll in an Exchange plan if
they were not enrolled in other acceptable coverage (for example, from an employer, Medicare
and generally Medicaid).26 H.R. 3200 does not contain any restrictions on noncitzens—whether
legally or illegally present, or in the United States temporarily or permanently—participating in
the Exchange.27 However, as discussed above, H.R. 3200 would only mandate that resident aliens
would be required to have health insurance.

Endnotes

26 For more on the Exchange, see CRS Report R40724, Private Health Insurance Provisions of H.R. 3200, by Hinda
Chaikind et al.

27 H.R. 3200 would not change any of the alien eligibility restrictions on the receipt of Medicaid. Thus, there could be
aliens who would meet the categorical and income eligibility requirements for Medicaid but are ineligible due to their
alien status (e.g., legal permanent residents within five years after entry to the United States), who under H.R. 3200
would be required to have health insurance.

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