Maryland House passes bill allowing illegal immigrants access to state healthcare exchange

The Maryland House on Friday approved a measure that would allow illegal immigrants to purchase health insurance on the state's healthcare exchange.

Democratic Maryland Del. Joseline Pena-Melnyk speaks at the state Capitol in Annapolis, Maryland, on Friday, Feb. 23, 2024. (AP Photo/Brian Witte)

Of the state's remaining uninsured, about 256,000 of them are undocumented immigrants, Pena-Melnyk said. She pointed out that undocumented immigrants who sign up for health insurance through the exchange work in the state, pay taxes in the state and will pay for the plans.

"It's preventive medicine, cheaper when it's preventive, and it helps all of us. This is not free, not free, not free," Pena-Melnyk said for emphasis.

But Del. Mark Fisher, a Calvert County Republican, contended that Maryland residents who are U.S. citizens often have long wait times to get doctor’s appointments, and he questioned why the state should expand health insurance coverage through the state's exchange to people who aren’t citizens.

"The term health equity is meaningless if you can’t get access to a doctor, absolutely nonsense, and that’s the experience that we’re having throughout the state, and certainly in Calvert County," Fisher said. "I just do not understand why folks believe that when you are a citizen of the United States that you should get into a queue behind folks who are not citizens of the United States."

But Pena-Melnyk said the measure would help everyone because when people without health insurance need care, they end up going to emergency rooms where medical costs are higher.

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"It saves us a lot of money, because guess what? Hospitals last year spent anywhere between $120 million and $150 million in uncompensated care," Pena-Melnyk, a Prince George's County Democrat, said during the debate Friday, while also noting that Maryland has the worst emergency room waiting times in the nation.

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