Disparities Policy

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The Henry J. Kaiser Family Foundation

When a Family Member is Detained or Deported, Immigrant Families Often Face Financial Hardship, Physical and Emotional Health Consequences and New Fears of Engaging with Public Programs

As the Trump Administration pursues enhanced enforcement of the nation’s immigration laws, a new issue brief from the Kaiser Family Foundation documents how the detention or deportation of an individual can have major effects on families and communities. They include sudden and severe financial hardship and emotional trauma that can…

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Family Consequences of Detention/Deportation: Effects on Finances, Health, and Well-Being

This report examines the direct consequences to family finances, health, and well-being when a member of the household is detained or deported. It is based on 20 in-person interviews with families who recently had a family member detained or deported and 12 telephone interviews with health centers, legal services providers, educators, and community organizations serving immigrant families in California, Texas, and the Washington, DC area.

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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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The Henry J. Kaiser Family Foundation

New Brief Examines 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 the use of federal health, nutrition, and other non-cash public programs, including Medicaid and the Children’s Health Insurance Program (CHIP), when making a determination about whether someone is likely…

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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.

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Beyond Health Care: The Role of Social Determinants in Promoting Health and Health Equity

Research demonstrates that improving population health and achieving health equity will require broad approaches that address social, economic, and environmental factors that influence health. This brief provides an overview of the broad factors that influence health and describes efforts to address them, including initiatives within Medicaid.

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The Henry J. Kaiser Family Foundation

Atención de salud en Puerto Rico y las Islas Vírgenes de los Estados Unidos: una revisión, a seis meses de las tormentas (Informe)

Puerto Rico y las Islas Vírgenes de los Estados Unidos (USVI) sufrieron daños significativos en su infraestructura y sistemas de salud a causa del impacto de los huracanes Irma y María en septiembre de 2017. Basándose en entrevistas con residentes, partes interesadas clave, y en informes públicos, este informe proporciona una visión general del estado de los esfuerzos de recuperación, a seis meses de las tormentas, con un enfoque en los sistemas de atención médica.

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Health and Access to Care and Coverage for Lesbian, Gay, Bisexual, and Transgender (LGBT) Individuals in the U.S.

Lesbian, gay, bisexual, and transgender (LGBT) individuals often face challenges and barriers to accessing needed health services and, as a result, can experience worse health outcomes. These challenges can include stigma, discrimination, violence, and rejection by families and communities, as well as other barriers, such as inequality in the workplace and health insurance sectors, the provision of substandard care, and outright denial of care because of an individual’s sexual orientation or gender identity. This issue brief examines population characteristics of the LGBT community and the impacts of the Affordable Care Act (ACA), Supreme Court rulings and other policy changes related to same-sex marriage that can insurance coverage and access to health care services, and recent actions by the Trump Administration.

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Health Care in Puerto Rico and the U.S. Virgin Islands: A Six-Month Check-Up After the Storms (Report)

Puerto Rico and the U.S. Virgin Islands suffered significant damage to their infrastructure and health care systems from Hurricanes Irma and Maria in September 2017. Drawing on interviews with residents and key stakeholders as well as public reports, this brief provides an overview of the status of the recovery efforts six months after the storms, with a focus on the health care systems.

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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.

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