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Potential Effects of Public Charge Changes on Health Coverage for Citizen Children

The Trump Administration is pursuing changes that, for the first time, would allow the federal government to take into account use of Medicaid, CHIP, subsidies for Marketplace coverage and other health, nutrition, and non-cash programs when making public charge determinations. These changes would likely lead to decreased participation in Medicaid, CHIP, Marketplace coverage, and other programs among legal immigrants and their citizen children, even though they would remain eligible.

Nearly 20 Million Children Live in Immigrant Families that Could Be Affected by Evolving Immigration Policies

President Trump has intensified national debate about immigration by implementing policies to enhance immigration enforcement and restrict legal immigration. Recent findings show that the climate surrounding these policies has significantly increased fear and uncertainty among immigrant families, broadly affecting families across different immigration statuses and locations. The effects extend to lawfully present immigrants, including lawful permanent residents or “green card” holders, and children in immigrant families, who are predominantly U.S.-born citizens. In particular, findings point to both short- and long-term negative consequences on the health and well-being of children in immigrant families.
Potential changes to public charge policies intended to reduce use of public programs by immigrant families, including their citizen children, could further increase strains on immigrant families and lead to losses in health coverage. To provide insight into the scope of potential impacts of continually evolving immigration policy on children, this data note provides nationwide and state-level estimates (Table 1) of citizen children living in immigrant families and the number currently covered by Medicaid/CHIP coverage.

Hurricane Harvey: The Experiences of Immigrants Living in the Texas Gulf Coast

In order to better understand the particular needs of immigrants both in recovering from and preparing for future storms, this analysis from the Kaiser Family Foundation and the Episcopal Health Foundation highlights the views and experiences of foreign-born residents who were living in 24 coastal Texas counties hard-hit by Hurricane Harvey. Specifically, the brief explores the financial circumstances of immigrants following the storm, as well as their health care access, social support, and top priorities for rebuilding and recovery efforts in their area.

Proposed Changes to “Public Charge” Policies for Immigrants: Implications for Health Coverage

A draft version of a proposed 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.

Key Facts on Individuals Eligible for the Deferred Action for Childhood Arrivals (DACA) Program

In September 2017, President Trump rescinded the Deferred Action for Childhood Arrivals (DACA) program. Without legislative or administrative action, individuals will lose their DACA status. Based on Kaiser Family Foundation analysis of Current Population Survey data, this fact sheet examines key characteristics of young undocumented individuals eligible for DACA. It shows that most individuals eligible for DACA are healthy and have health coverage, reflecting that the large majority live in a family with at least one full-time worker. Loss of DACA status would result in individuals losing work authorization and potentially being targeted for deportation. Employers would likely terminate individuals as they lose work authorization, leading to job loss along with loss of health coverage. Without access to coverage through an employer, many individuals would likely become uninsured since they are not eligible to enroll in Medicaid or CHIP or to purchase coverage through the Marketplaces. Employment and coverage losses would lead to increased financial pressure and reduced access to care for individuals and their families, who may include citizen children.

Vivir en una Familia de Inmigrantes en los Estados Unidos: Cómo el Miedo y el Estrés Tóxico Están Afectando la Vida Diaria, el Bienestar y la Salud

Este informe examina las experiencias de los padres y hijos de inmigrantes, incluidos los inmigrantes indocumentados y aquellos legalmente presentes, con las nuevas restricciones de inmigración y el aumento de las leyes de inmigración siendo perseguidos por la Administración de Trump que están reformando la política de inmigración del EE.UU.. Realizamos grupos focales con 100 padres de 15 países y 13 entrevistas con pediatras para obtener una idea de cómo el ambiente actual está afectando la vida diaria, el bienestar y la salud de las familias inmigrantes, incluidos sus hijos.

In Focus: Immigrant Families, Including Immigrants Lawfully in the U.S. and Those Who Are Undocumented, Report Rising Fear and Anxiety Affecting Their Daily Lives and Health

With the Trump administration pursuing new restrictions on immigration and increased immigration enforcement, the political and social climate for immigrant families has changed substantially over the last year. A new Kaiser Family Foundation report based on focus groups with immigrant families and interviews with pediatricians finds that immigrants from a…

Health Coverage of Immigrants

This brief provides an overview of health coverage for noncitizens and discusses key issues for health coverage and care for immigrant families today

The Henry J. Kaiser Family Foundation Headquarters: 2400 Sand Hill Road, Menlo Park, CA 94025 | Phone 650-854-9400
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Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in Menlo Park, California.