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The Henry J. Kaiser Family Foundation

Immigration Reform and Access to Health Coverage: Key Issues to Consider

The Obama administration and a bipartisan group of U.S. senators recently released blueprints for immigration reform proposals that include a roadmap to citizenship for the 11 million undocumented immigrants currently residing in the United States. Subject to meeting specified requirements, these individuals would be able to apply for a provisional…

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Living in An Immigrant Family: How Fear and Toxic Stress Are Affecting Daily Life

Living in an Immigrant Family in America: How Fear and Toxic Stress are Affecting Daily Life, Well-Being, & Health

This brief examines the experiences of immigrant parents and children, including immigrants who are undocumented and those lawfully present, with the new restrictions on immigration and increased immigration enforcement being pursued by the Trump Administration that are reshaping U.S. immigration policy. Findings are based on focus groups in eight cities and four states with 100 parents in immigrant families from 15 countries, as well as telephone interviews with 13 pediatricians who serve immigrant communities.

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The Henry J. Kaiser Family Foundation

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.

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Medicaid: What to Watch in 2019 from the Administration, Congress, and the States

Medicaid, the provider of health insurance coverage for about one in five Americans and the largest payer for long-term care services in the community and nursing homes, continues to be a key part of health policy debates at the federal and state level. Important Medicaid issues to watch in 2019 include Medicaid expansion developments amid ongoing litigation about the ACA’s constitutionality as well as Medicaid demonstration waiver activities, including those focused on work requirements and other eligibility restrictions. States are also likely to continue to pursue initiatives to address the opioid crisis, and the recent passage of bi-partisan legislation with new tools and financing could bolster these efforts. Primary areas of federal policy to watch in 2019 with implications for Medicaid include the expiration of temporary funding for Puerto Rico and the US Virgin Islands in the absence of legislative action as well as potential regulatory changes to public charge policies that would likely lead to Medicaid enrollment declines among immigrant families. Finally, reforms in benefits, payment and delivery systems continue to evolve as states and the federal government focus on managed care, social determinants of health, prescription drugs, and community based long-term care. While beyond the scope of this brief, Congress and states could also consider broader health reform that could expand the role of public programs in health care including Medicare for All or Medicaid buy-in programs that could have significant implications for Medicaid.

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Public Charge Children - Immigrant Status

Changes to “Public Charge” Inadmissibility Rule: Implications for Health and Health Coverage

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.

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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…

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California’s Previously Uninsured After The ACA’s Second Open Enrollment Period

The Kaiser Family Foundation California Longitudinal Panel Survey is a series of surveys that, over time, tracks the experiences and views of a representative, randomly selected sample of Californians who were uninsured prior to the major coverage expansions under the Affordable Care Act (ACA). The initial baseline survey was conducted with a representative sample of 2,001 nonelderly uninsured Californian adults in summer 2013, prior to the ACA’s initial open enrollment period. The second survey in the series followed up with the same group of previously uninsured Californians who participated in the baseline (a longitudinal panel survey). The third in the series, and the focus of this report, followed up with them again after the second open enrollment period in spring 2015 to find out whether more have gained coverage, lost coverage, or remained uninsured, what barriers to coverage remain, how those who now have insurance view their coverage, and to assess the impacts that gaining health insurance may have had on financial security and access to care.

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The Henry J. Kaiser Family Foundation

California’s Uninsured on the Eve of ACA Open Enrollment

This report presents the findings of a baseline survey of California’s uninsured adult population just before the start of the first open enrollment period under the Affordable Care Act (ACA). It will be followed by three other surveys over the course of the next two years that will capture the…

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The Henry J. Kaiser Family Foundation

Drew Altman: Amid Tensions, Legal Immigrants Fear Signing Up for Obamacare

In his latest column for The Wall Street Journal’s Think Tank, Drew Altman discusses new Kaiser Family Foundation survey findings about how fear of enforcement of immigration laws may be affecting Latino enrollment in the Affordable Care Act. All previous columns by Drew Altman are available online. 

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Key Health Implications of Separation of Families at the Border (as of June 27, 2018)

This fact sheet examines key health implications of separating immigrant children from their parents at the border, as of June 27, 2018. The practice came to light after implementation of the Trump Administration’s zero tolerance policy for individuals entering into the U.S. without authorization. Research shows that separating children from their parents exposes them to trauma and toxic stress that can have lifelong impacts on their health.

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