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Vulnerable Populations

  • Seven Steps to Improve Enrollment for the Asian American, Native Hawaiian and Pacific Islander Community

    By Naomi Stark, Georgetown CCF Research Assistant The Affordable Care Act provided an enormous opportunity for coverage of many immigrant and mixed status families eligible for premium tax credits in the health insurance marketplace. However, due to a variety of enrollment barriers, many of those eligible for these critical benefits are unable to enroll.  Action for…

  • Serious Enrollment Gap for Limited English Proficient Californians

    If you’re like me, you’re impatiently awaiting more data so that you can understand how immigrant families—many eligible for subsidies for health insurance for the first time—faired in open enrollment.  A new paper from the Greenlining Institute, identifies major gaps in enrollment for immigrant communities and some ways to close them. In addition to using…

  • Improving Enrollment for Immigrant Families Could Cut the Number of Uninsured Kids in Half

    It’s hard to believe that the next open enrollment period is only 5 months away.  As the federal marketplace and states work to fix enrollment challenges, it’s important to consider what groups are most likely to be uninsured and smooth their pathway to coverage. A study recently came out that makes it clear that enrollment…

  • Health Coverage for Immigrant Children and Families? Two New Studies Support Moving Forward

    Two new studies published in Health Affairs support state efforts to expand coverage for immigrant children and families. Coverage for immigrant kids and pregnant women In 2009, the Children’s Health Insurance Program Reauthorization Act provided a new opportunity for states to receive federal funding to cover lawfully present low-income kids and pregnant women in Medicaid…

  • The Expatriate Health Coverage Act: Like “Using a Bat to Swat a Fly?”

    The National Immigration Law Center has said that the Expatriate Health Coverage Clarification Act of 2014 (H. R. 4414 as amended or “EHCCA”), which passed the House last week, is “like using a bat to swat a fly.” I agree that this analogy fits. The EHCCA professes to fix a problem with health coverage for…

  • Crossing Into New Territory with 25,000 Newly Covered Kids

    By Anna Strong, Arkansas Advocates for Children and Families At Arkansas Advocates for Children and Families, we’ve been working for many years to ensure that all children have health coverage here in our state. Our latest report, Crossing into New Territory: Kids’ Health Coverage in 2014, outlines the progress Arkansas has made in covering kids since…

  • For DACA Grantees, Health Insurance is (Only) a Dream

    By Dinah Wiley [Update:  In August 2022, the Biden administration codified the DACA program in regulation. The regulation did not change health insurance for DACA grantees.  For current information on DACA, visit the National Immigration Law Center.] We receive a lot of questions about the health insurance eligibility of non-citizens with a special Deferred Action status…

  • Two States On the Path to the Basic Health Program

    Both Minnesota and New York are on the path to setting up a Basic Health Program (BHP) that will provide more affordable coverage for low-income families than they may find on the marketplace.  Minnesota passed BHP legislation that was signed into law in May 2013.  In New York, BHP was included in the Governor’s budget…

  • Covering Former Foster Youth Should Be Easy But …

    Sometimes, it’s the simplest provision of a law that works the best – like the Affordable Care Act (ACA) provision that allows young adults to stay on their parents’ health plan until 26. But youth leaving the foster care system as they transition to adulthood don’t have families to fall back on, so the ACA…

  • NASHP Releases New Resource on Medicaid Benefits for Children

    By Joe Touschner Along with ICHIA and SLMB, one of the more inscrutable acronyms in health policy is EPSDT.  Even those who know it stands for Early and Periodic Screening, Diagnosis, and Treatment may not know exactly who it is for and what it entails.  Worse, although it is a federal policy that applies in…

  • Navigating the Application Process for Families that Include Immigrants

    Immigrant resources from a webinar for assisters, February 21, 2014, sponsored by HHS in partnership with CCF, the National Immigration Law Center, and the Center on Budget and Policy Priorities:

  • CBPP Finds New Plan to Repeal ACA Would Lead to Deep Cuts for Medicaid Beneficiaries, Higher Costs and Fewer Consumer Protections

    By Edwin Park, Center on Budget and Policy Priorities Senator Tom Coburn (R-OK), Senator Orrin Hatch (R-UT), and Senator Richard Burr (R-NC) unveiled a new plan to repeal all of health reform (the Affordable Care Act or ACA) except for certain provisions related to Medicare, cap federal Medicaid funding, and create a new tax credit for people…

  • Medicaid and CHIP Know How to Do Enrollment; Performance Bonuses Offer Model for Future Program Improvements

    Enrollment in health coverage? Medicaid and CHIP know how to do it! News accounts last week that 3.9 of the 6 million people who signed up for health coverage between October 1 and the end of 2013 were enrolled in Medicaid or CHIP came as no surprise to those of us who follow these critical…

  • 2014 is Finally Here! Let the Coverage Begin …

    I was excited to come to work today – the first business day of full implementation of the Affordable Care Act. It has been many decades in the making – but the concept that all Americans should have access to affordable health insurance is finally the law of the land. And anti-consumer practices, used by…

  • The Administration’s New Welcome Mat for Immigrants: “It’s Safe to Apply”

    By Dinah Wiley In previous blogs, I’ve described the reluctance of immigrant families to enroll in Medicaid, CHIP, or marketplace insurance and subsidies.  The chief worry for a mixed-status household is whether a health insurance application will trigger immigration enforcement, resulting in “removal” (deportation) of a member of the family who would be separated from…

  • Healthcare.Gov Technical Problems Aside, the Show Must Go On

    At the three-week mark, it’s time to admit that the problems with Healthcare.Gov are more than opening day jitters and huge lines at the box office. On one hand, the sheer number and complexity of the business functions that Healthcare.Gov is intended to perform require extremely sophisticated and high-performing software and hardware. On the other…

  • How Will Immigrants Fare Under Health Reform? Putting Out the Welcome Mat & Encouraging Enrollment, Part II

    By Dinah Wiley In Part I of this blog series, I noted that immigrants have unique concerns about signing up for health insurance, and are less likely than citizens to do so, and that blog addressed  confidentiality concerns of immigrant families. The privacy concerns are paramount, yet a mixed-status family will also wonder if they…

  • How Will Immigrants Fare Under Health Reform? Encouraging Enrollment

    By Dinah Wiley Immigrants who are eligible for Medicaid and CHIP, compared to their citizen counterparts, are less likely to sign up for health coverage.  Why is this so?  It’s true that newcomers to the U.S. are more healthy than native-born Americans, for a few years at least.  Yet when immigrants are offered private insurance…

  • Health Insurance for Immigrant Families

    The webinar examines changes in health reform law and regulations that affect the eligibility of immigrants and the access barriers they face, particularly when part of mixed-status families. It also looks at which rules have not changed, showing a snapshot of the landscape of coverage options for immigrant families as of 2013. Download the recording

  • How Have Immigrant Families Fared (So Far) Under Health Reform?

    By Dinah Wiley Immigrant families are among the most in need of health reform, with high rates of uninsurance and poverty despite employment rates as high as those of citizen-headed households.  How will these families fare under health reform?  Though a few federal rules are still undecided, we can safely say that many non-citizens will…