S2237B

The New York State Senate passed legislation Tuesday that would expand health coverage to undocumented immigrants under 65 by authorizing the state to seek federal funding through the 1332 State Innovation Program. Senate Print 2237B passed 40-21, with sponsor Sen. Rivera arguing the state already spends $428 million annually on emergency care for uninsured undocumented immigrants and should redirect federal funds to provide Essential Plan coverage instead. "We are already spending this money," Rivera said during floor debate. "What we're proposing is to ask the federal government to give us this money so we can extend the Essential Plan to these folks and provide them essential care." The bill would cover an estimated 370,000 to 400,000 undocumented immigrants and includes authority for the Department of Health to limit enrollment as needed. Opponents, led by Sen. Rhoads, raised concerns about relying on federal promises without formal waiver approval, citing examples of Illinois pausing similar programs due to funding constraints. Sen. Borrello argued the state should not continue attracting undocumented immigrants by expanding benefits. The bill now goes to the Assembly.