Maryland could open ACA exchange to undocumented immigrants

Maryland legislators are considering a bill that would allow people to purchase insurance on Maryland's health insurance exchange, regardless of their immigration status. 

The bill passed the Maryland House 101-34 on Feb. 23. 

The legislation would require the state to seek a waiver from the federal government to allow noncitizens to purchase insurance on the ACA exchange, Maryland Matters reported Feb. 22. It would not provide federal or state funding to subsidize coverage for undocumented residents. 

Around 75% of those who are uninsured in Maryland are noncitizens, Maryland Matters reported. 

In 2022, Washington became the first state to offer ACA coverage to any resident, regardless of their immigration status. 

Several states have expanded Medicaid or other state-funded coverage options to noncitizens. 

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