This bill directs the Department of Health and Human Services to submit state plan amendments under Medicaid and the Children's Health Insurance Program (CHIP) to expand coverage to children and pregnant women who are lawfully residing in the United States. The state plan amendments will elect the option for children up to age 19 and pregnant women through the postpartum period. The bill also appropriates $336,000 to the Department of Health and Human Services for the purpose of funding the state share of the expansion of Medicaid and CHIP.

The fiscal impact of the bill is as follows:
- The total cost of expanding coverage to immigrant non-infant children is expected to be approximately $220,000 per year, with half funded by state general funds and half by matching federal funds.
- The total cost of expanding coverage to immigrant infants is expected to be approximately $42,000 per year, with half funded by state general funds and half by matching federal funds.
- The total cost of expanding coverage to immigrant pregnant women is expected to be approximately $186,000 per year, with half funded by state general funds and half by matching federal funds.
Based on these projections, the bill appropriates $336,000 in the FY24/25 biennium for the state share of the expanded coverage. The Department of Health and Human Services is authorized to accept and expend any matching federal funds without prior approval of the fiscal committee.