Effective October 1, 2026: H.R. 1 generally limits eligibility for federally funded Medicaid and FAMIS coverage for certain noncitizens, including refugees, asylees, certain parolees, trafficking victims, and certain abused spouses and children. Beginning January 1, 2027: Many individuals in these categories will no longer qualify for financial assistance through the Marketplace unless they also qualify as lawful permanent residents, Cuban or Haitian entrants, of COFA migrants. Individuals who are otherwise lawfully present may still be eligible to purchase Marketplace coverage at full cost.
Beginning January 1, 2027: Many individuals in these categories will no longer qualify for financial assistance through the Marketplace unless they also qualify as lawful permanent residents, Cuban or Haitian entrants, of COFA migrants. Individuals who are otherwise lawfully present may still be eligible to purchase Marketplace coverage at full cost.