Advocates Fear ‘Chilling Effect’ of Public Charge Rule

Medpage Today

The Trump administration’s “public charge” rule — currently in effect after Supreme Court rulings in January and last week — could have a “chilling effect” on immigrants considering signing up for Medicaid, analysts said.

However, there are facets to the rule that many immigrants aren’t aware of, according to Kelly Whitener, of Georgetown University’s Center for Children and Families in Washington. For example, “for many immigrants, such as refugees and asylees, the public charge rule does not apply,” she wrote in an email. “And for those immigrant groups subject to the public charge rule, there are important exceptions to understand, including that children’s use of Medicaid, CHIP [the Children’s Health Insurance Program], or subsidized [Affordable Care Act] Marketplace coverage will not count in their own green card petitions or in the petitions of family members. Immigrant families in the U.S. should be armed with these facts so that they have every opportunity to make informed decisions rather than reacting based on misinformation and fear.”

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