The Department of Homeland Security updated a “public charge” policy to allow more immigrants to be disqualified from getting a green card if they use public benefits such as Medicaid, according to a notice published in the Federal Register.
“This rule will exacerbate the pervasive fear and uncertainty among immigrant families, and lead to children — including those who are U.S. citizens — not receiving vital health services and supports they need and are eligible for,” Andrew Racine, MD, PhD, president of American Academy of Pediatrics, said in a July 16 statement.
Here is what to know.
1. The policy change allows immigration officers to determine whether an immigrant is disqualified from getting a green card for using public benefits including Medicaid, the Children’s Health Insurance Program and the Supplemental Nutrition Assistance Program on a case-by-case basis. The change “restores broader discretion for DHS officers to evaluate all pertinent facts and aligns with long-standing policy that aliens in the United States should be self-reliant and government benefits should not incentivize immigration,” the rule said.
2. The department estimates that more than $13 billion could be saved annually through total reduction in transfer payments between federal and state governments.
3. The policy said that the change may reduce revenue for hospitals, healthcare providers, and drug and medical supply companies participating in Medicaid.
4. The final rule goes into effect Sept. 18, and applies to applications for admission made on or after Sept. 18.
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