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New Public Charge Policies Will Likely Lead to Decreased Enrollment in Medicaid and CHIP

New public charge regulations from the Department of Homeland Security will likely lead to millions of people in immigrant families, including citizen children, to disenroll from or forgo health coverage and other types of assistance even if they are eligible and not subject to public charge determinations, due to “chilling effects” of fear and confusion.

See Also: Potential “Chilling Effects” of Public Charge and Other Immigration Policies on Medicaid and CHIP Enrollment

Deaths and Health Care Issues in ICE Detention Centers Under the Second Trump Administration

Health Care Experiences of Immigrant Parents and Their Children in the Second Trump Term

Recent State Actions Related to Immigrants’ Access to Services and Immigration Enforcement

How States Verify Citizenship and Immigration Status in Medicaid

KEY FACTS AND ANALYSIS

Key Facts on Health Coverage of Immigrants

Immigrants generally use less health care and have lower health spending than U.S.-born citizens, and noncitizen immigrants remain far more likely to be uninsured than citizens.

This fact sheet provides an overview of health coverage for immigrants based on data from the KFF/New York Times 2025 Survey of Immigrants and discusses implications of the current policy and immigration enforcement environment for their health and health care.

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

Children in Immigrant Families: Key Facts on Health Coverage and Care

Recent Trump Administration Policies that Impact Health Coverage and Care for Immigrant Families

1.4 Million Lawfully Present Immigrants are Expected to Lose Health Coverage due to the 2025 Tax and Budget Law

survey of immigrants

KFF-New York Times Survey: Immigrants Report Rising Fear, Negative Economic and Health Impacts, and Changing Political Views During the First Year of President Trump’s Second Term

The 2025 Survey of Immigrants, a partnership between KFF and The New York Times, takes an in-depth look at the experiences of immigrants during the first year of President Trump’s second term, including their worries related to increased immigration enforcement, their health and economic wellbeing, and the political views and preferences of immigrant voters. The survey paints a portrait of families under strain — where fear of detention and economic instability are negatively impacting immigrants’ health and reshaping immigrant families’ daily lives and views of U.S. political parties.

Read the News Release | Explore The New York Times’ Reporting

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  • Springfield, Ohio: How Candidates Amplify Misinformation

    From Drew Altman

    In his latest column, KFF President and CEO Drew Altman explains the impact of misinformation about immigrants, examining the challenges of correcting misinformation shared by candidates or potentially amplifying it.

  • Misinformation About Immigrants in the 2024 Presidential Election

    Poll Finding

    With the 2024 election season underway, a large majority of the public reports hearing false claims about immigrants from candidates or elected officials, and many immigrants say Donald Trump's rhetoric in particular is negatively affecting how they are treated. This poll finding also gauges understanding about U.S. immigrants' eligibility for government benefits programs.

  • Poll: As the Election Approaches, Most of the Public Say They Have Heard False Claims about Immigrants 

    News Release

    With immigration and border security getting attention heading into November’s elections, a large majority of the public reports hearing false claims about immigrants from candidates or elected officials, and many immigrants say the rhetoric is negatively affecting how they are treated, a new KFF Health Misinformation Tracking Poll finds. Fielded before the Sept. 10 debate between former President Trump and Vice President Harris, the poll tested the public’s awareness of, and belief in, several statements…

  • Key Facts on Health Care Use and Costs Among Immigrants

    Issue Brief

    This issue brief draws from the KFF/LA Times Survey of Immigrants and other KFF analyses to highlight immigrants’ health care eligibility, healthcare use and costs, as well as their contributions to the economy and workforce.

  • Disparities in Health and Health Care: 5 Key Questions and Answers

    Issue Brief

    Disparities in health and health care for people of color and underserved groups are longstanding challenges. This brief provides an introduction to what health and health care disparities are, why it is important to address disparities, the status of disparities today, recent federal actions to address disparities, and key issues related to addressing disparities looking ahead.

  • Compare the Candidates on Health Care Policy

    Feature

    The side-by-side comparison tool provides a quick overview of former President Trump's and Vice President Harris' records, positions, public statements, and proposed policies on a range of key health care topics.

  • Who is at Risk Amid the H5N1 Influenza Outbreak? Characteristics and Health Coverage of Animal Production Workers

    Issue Brief

    This analysis uses data on “animal production workers” from the 2022 American Community Survey to examine characteristics of workers who may be at risk for exposure to H5N1 avian influenza, which has been found in dairy cattle herds in nine U.S. states as of May 14, 2024. The analysis compares characteristics of these workers to all U.S. workers, to all workers in the H5N1-affected states, and draws out some implications. Among the findings are that…