TRENTON, NJ – A proposal introduced in the New Jersey Legislature would make the state one of the first in the nation to provide full medical assistance to undocumented immigrants, expanding eligibility under the state’s Medicaid program to an estimated 350,000 residents without legal status.
Assembly Bill 1701, sponsored by Assemblywoman Garnet R. Hall (D–Essex/Union), was pre-filed for the 2024–2025 session and seeks to authorize “comprehensive health care coverage” for undocumented immigrants who live in New Jersey but are currently excluded from full Medicaid benefits due to federal restrictions.
Under existing law, noncitizens who lack legal status are only eligible for emergency medical care. The bill would amend that statute to extend full benefits to those who otherwise meet the state’s Medicaid eligibility criteria, except for their immigration status.
The legislation directs the Commissioner of Human Services to determine when the system can be implemented and to pursue federal funding where possible. However, the bill specifies that if federal reimbursement is not available, the coverage would be financed entirely with state funds. The measure also requires that implementation comply with federal law, specifically the Personal Responsibility and Work Opportunity Reconciliation Act of 1996, which allows states to extend benefits to undocumented residents through explicit legislation.
Supporters argue the bill would close a major healthcare gap by allowing low-income immigrant residents access to preventive care, rather than relying solely on emergency services. Opponents are expected to raise concerns about the potential cost to taxpayers and the political implications of expanding benefits to individuals living in the country unlawfully.
The proposal would take effect immediately upon passage, but remain inoperable until the state receives a determination from federal authorities regarding funding participation.
