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Immigrant Health

Key Facts

Key Facts on Health Coverage of Immigrants

As of 2023, there were 47.1 million immigrants residing in the U.S., including 22.4 million noncitizen immigrants and 24.7 million naturalized citizens, who each accounted for about 7% of the total population.

Noncitizen immigrants are more likely to be uninsured than citizens because they have more limited access to private coverage due to working in jobs that are less likely to provide health benefits. They also face eligibility restrictions for federally funded coverage options, including Medicaid, CHIP, the ACA marketplace and Medicare.

5 Key Facts About Immigrants and Medicaid

Children of Immigrants: Key Facts on Health Coverage and Care

Key Facts on Health Care Use and Costs Among Immigrants

The Role of Adult Children of Immigrants in the U.S. Health Care Workforce

Immigration Enforcement and Health

Potential Impacts of Mass Detention and Deportation Efforts on the Health and Well-Being of Immigrant Families

KFF focus groups with immigrant families during the first Trump administration found that restrictive immigration policies led to increased fears among immigrant families across immigration statuses. That had negative effects on health and well-being and led to reluctance to seek health care and enroll in programs for which lawfully present immigrants were eligible. Mass deportations could also negatively affect health care and other industries by depriving them of workers.

Recent State Actions Impacting Immigrants’ Access to State-Funded Health Coverage

Policy Bars Many Immigrants from a Broad Range of Federal Health and Social Supports

Key Facts on Deferred Action for Childhood Arrivals (DACA)

Health Implications of Immigration Policies Under a Second Trump Administration

Survey of Immigrants

Health and Health Care Experiences of Immigrants: The KFF/LA Times Survey of Immigrants

A KFF-Los Angeles Times partnership survey of immigrant adults, released in September 2023, shows most feel they found a better life for their families in this country, but many also face economic hardships and discrimination.

This report, drawing upon the main survey findings, shows how these challenges extend to health care. Many immigrants have difficulty accessing and using health care in the U.S. due to higher uninsured rates, affordability challenges, linguistic and cultural barriers, and immigration-related fears. The survey also shows the difficulties immigrants face in obtaining health coverage and underscores the role of coverage in access to care.

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  • State Health Coverage for Immigrants and Implications for Health Coverage and Care

    Issue Brief

    Noncitizen immigrants, particularly those who are undocumented, face significant barriers to accessing health coverage and care and are significantly more likely than citizens to be uninsured. Some states have taken up options in Medicaid and the Children’s Health Insurance Program (CHIP) to expand coverage for lawfully present immigrants and/or established fully state-funded programs to fill gaps in coverage for immigrants. This brief provides an overview of state health coverage programs for immigrants regardless of status and examines how health coverage for immigrants vary by state coverage policies using data from the 2023 KFF/LA Times Survey of Immigrants.

  • Proposed Medicaid Federal Match Penalty for States that Have Expanded Coverage for Immigrants: State-by-State Estimates

    Issue Brief

    This analysis examines the potential impacts of a provision in the House reconciliation bill that proposes reducing the federal matching rate for the Affordable Care Act (ACA) Medicaid expansion population from 90% to 80% for states that either provide health coverage or financial assistance to purchase health coverage to individuals who are not “a qualified alien.”

  • Living in an Undocumented Immigrant Family Under the Second Trump Administration: Fear, Uncertainty, and Impacts on Health and Well-Being

    Issue Brief

    During his second term, President Trump has implemented an array of immigration policy changes focused on restricting immigration and increasing interior immigration enforcement efforts. These policy changes include restrictions on both lawful and unlawful immigration into the U.S., increased interior enforcement activities to support mass deportation, attempts to end birthright citizenship for the children of noncitizen immigrants, and rescinding protections against enforcement action in previously protected areas such as schools, churches, and health care facilities. These actions have broad impacts across immigrant families of all statuses, including the millions of U.S. citizen children living in them.

  • Potential Implications of Immigration Restrictions on the U.S. Agricultural Workforce

    Issue Brief

    Using data from the 2022 National Agricultural Workers Survey (NAWS), this issue brief examines key characteristics of agricultural workers, including their citizenship status, health coverage, and access to health care. The Trump administration’s restrictive immigration policies may compound health challenges and risks this groups faces and have negative impacts on the cost and availability of food.

  • How States Verify Citizenship and Immigration Status in Medicaid

    Issue Brief

    This brief describes federal citizenship and immigration status eligibility and eligibility verification requirements for Medicaid. Eligibility for federally-funded coverage under Medicaid and the Children’s Health Insurance Program is limited to U.S. citizens and certain lawfully present immigrants.

  • Potential Impacts of Increased Immigration Enforcement on School Attendance and Funding

    Issue Brief

    This brief presents research on the impacts of immigration enforcement on children, including school attendance and performance; provides data on the share and number of school-aged children by state who live in immigrant families based on KFF analysis of the 2023 American Community Survey (ACS); and discusses potential implications of declines in school enrollment and/or attendance among these children on school funding.