Keeping the safety net in mind through immigration reform

Published by: Zina Gontscharow on 1/31/2013 3:19:43 PM
 Zina Gontscharow

As if Congress does not have enough on its plate these days, this week we saw the immigration debate heat up. A bipartisan group of eight Senators, four democrats and four republicans, held a press conference where they released a plan that would include a path to citizenship for some of the nation’s more than 11 million undocumented immigrants. The senators noted that they hope to craft legislation in March, with passage in early summer. Not to be outdone by this group of senators, President Barack Obama also released this week a four-part plan for comprehensive immigration reform. The president’s plan would continue to strengthen border security, crack down on employers who hire illegal immigrant labor, create a path to earned citizenship and streamline America’s legal immigration system. However, both of these plans are still in their infancy and invite many questions. What does a path to citizenship look like? What does this population fall on a socio-economic scale?  What social welfare benefits will they be eligible for? The president stated that his plan would bar undocumented immigrants, even those who gain provisional legal status, from accessing the benefits of the Affordable Care Act (ACA). This statement is consistent with current federal law, as people with provisional status are not eligible for the federal welfare benefits and tax credits and subsidies under the ACA. What does that mean for these immigrants on a path to citizenship? Will they be barred from accessing essential health services while in legal-status limbo?  Will they continue to turn to emergency rooms for their care? Will the safety net, NAPH members, have to continue to shoulder the financial burden of their care? The immigration reform plans that have been set out do little to address the potential impact of these newly documented immigrants on America’s safety net. Although the president specifically noted that ACA provisions would not be extended to the newly documented, the senate plan has remained completely silent on any health care issues. It would be wise for policymakers consider all implications while crafting legislation. The potential costs and how to put immigrants not only on a path to citizenship, but on a path to health care coverage and access. Otherwise, we will continue to see millions of uninsured, now documented, immigrants turning to the already strained safety net for care.  $0

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