The Congressional Budget Office projections predict that the ACA will reduce the uninsured rate in some, but not all immigrant groups. Ultimately, how immigrants succeed in this massive overhaul of health care will depend on many factors such as income, immigration status, how long they have lived in this country and their country of origin.
The National Immigration Law Center provides guidelines on how the immigrant population is in the reform framework:
naturalized citizens
- even access and requirements for coverage under the ACA as US-born citizens
legal immigrants
- lawfully present in the United States immigrants have partial federal coverage, depending on the number of years in the US
- legal residents or green card holders in the country for 5 years or more Medicaid may apply if the income is quite low
- subject always individual mandate and may join a health plan of their state exchange
- eligible for premium tax credits and coinsurance lower
undocumented immigrants
- Get any federal coverage and are exempt from individual punishment mandate
- Not allowed to buy health insurance through state exchanges
- ineligible for tax credits premium
- forbidden to enroll in Medicaid or Medicare, but may still be eligible for emergency care under Medicaid
from 2011, reported 40 million immigrants lived in the US, representing about 13 percent of the total population. As the country moves deeper into the health reform, a major challenge for the government and lawyers immigrants will keep the group informed and responsible law.
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