Maryland's House and Senate have recently passed a bill known as the "Access to Care Act," which would grant undocumented citizens the ability to purchase health insurance. The legislation received approval from the Senate on a party line vote of 34-13, following the House's earlier passage of a similar version in February by a 101-34 vote.

Advocates for immigrant rights view the bill as a significant step forward in ensuring that all Maryland residents have access to healthcare. Ninfa Amador-Hernandez, a policy analyst for the immigrant advocacy group CASA, expressed optimism about the bill, stating that it will contribute to improving the quality of life and healthcare for residents in Maryland.

If signed into law, the Access to Care Act would enable undocumented citizens to buy health insurance at the same rate as American citizens, ensuring equal access to healthcare services. However, sources familiar with the legislation have mentioned that this new program may impose additional costs on Maryland taxpayers.

To implement the program, the Maryland Health Benefit Exchange would need to submit a federal waiver application to overcome the federal restrictions currently in place that prevent undocumented migrants from purchasing health insurance. The deadline for submitting the waiver application is set for July 1, 2025. If the waiver is granted, the program could begin as early as 2026, further expanding healthcare access for Maryland residents.

While the bill's passage has sparked debate over potential financial implications, proponents argue that it aligns with Maryland's identity as a welcoming state for immigrants. Maryland has long been considered a home for immigrants, and this legislation is seen as another step towards ensuring that all residents have access to quality healthcare.

As the bill awaits final approval, it remains to be seen how it will impact the healthcare landscape in Maryland and whether it will serve as a model for other states grappling with similar issues related to providing healthcare access to undocumented citizens.