This report summarizes the major findings from KFF and HMA case studies in five U.S. communities, highlighting cross-cutting themes and the degree to which low-income women in diverse communities face challenges in accessing reproductive and sexual health care, as well as promising initiatives established by community providers to address barriers and improve access to these basic services.
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Addressing Health and Social Needs of California’s Immigrant Families: Lessons Learned from Local Responses and Future Priorities
A flurry of federal activity on immigration rules and policies is affecting health care and coverage for both lawfully residing immigrants and undocumented immigrants in the country, ranging from deportation policies, a revised “public charge” rule, and a new proclamation from President Trump requiring health insurance for entry via immigrant…
This brief presents findings from discussions with service providers across sectors (including health, legal, and education), local officials, and parents in immigrant families in the San Francisco Bay Area and San Diego about issues facing immigrant families and providers in the current environment, how the local communities have responded to growing needs, and key priorities and opportunities identified for serving immigrant communities.
Many Community Health Centers Report That Immigrant Patients Are Declining to Enroll in Medicaid or Renew Their Coverage Amid Concerns About Changes to Public Charge Rules
Nearly half (47%) of community health centers report that many or some immigrant patients declined to enroll themselves in Medicaid in the past year, according to a new KFF survey, and nearly a third (32%) of centers say that some patients dropped or decided not to renew such coverage. Interviews…
Impact of Shifting Immigration Policy on Medicaid Enrollment and Utilization of Care among Health Center Patients
On August 14, 2019, the Trump administration published a final rule to broaden the programs the federal government will consider in public charge determinations to include Medicaid coverage for non-pregnant adults and certain previously excluded nutrition and housing programs. To learn about the possible early effects of the public charge rule and other immigration policies on patients at community health centers, this brief draws on interviews and survey data to capture health center directors’ and staff’s perceptions of changes in coverage and service use among their patients who are immigrants.
On October 4, 2019, President Trump released a proclamation suspending entry of immigrants into the United States unless they provide proof of health insurance within 30 days of entry or have financial resources to pay for reasonably foreseeable health insurance costs. The proclamation indicates that the suspension is necessary to protect the health care system and taxpayers from uncompensated care costs. This brief provides an overview of the proclamation and data on health coverage and health care use for immigrants.
Nearly 8 in 10 Immigrants Who Entered the U.S. Without Legal Permanent Resident Status Have At Least One Characteristic That Could Count Against Them under the New “Public Charge” Rule
Seventy-nine percent of noncitizen residents who originally entered the United States without legal permanent resident status have at least one characteristic that could count against them under the Trump Administration’s new “public charge” rule, according to an updated KFF analysis. Such characteristics – including having an income below 125 percent…
On October 10, 2018, the Trump administration released a proposed rule to change “public charge” policies that govern how the use of public benefits may affect individuals’ ability to obtain legal permanent resident (LPR) status. This analysis provides new estimates of the rule’s potential impacts.
In Their Own Voices: Low-income Women and Their Health Providers in Three Communities Talk about Access to Care, Reproductive Health, and Immigration
In this report, we summarize findings and highlight selected quotes from focus groups of low-income women and their health care providers on contraception, costs and coverage, abortion care, mental health and intimate partner violence, social determinants of health, and immigration issues.
A final rule by the Trump Administration would make changes to “public charge” policies that govern how use of public benefits may affect individuals’ immigration status. This fact sheet provides an overview of the proposed changes and their implications for legal immigrant families and their predominantly U.S.-born citizen children.