{"id":692545,"date":"2025-10-08T12:25:59","date_gmt":"2025-10-08T16:25:59","guid":{"rendered":"https:\/\/www.kff.org\/?p=692545"},"modified":"2025-10-09T12:47:07","modified_gmt":"2025-10-09T16:47:07","slug":"recent-trump-administration-policies-that-impact-health-coverage-and-care-for-immigrant-families","status":"publish","type":"post","link":"https:\/\/www.kff.org\/immigrant-health\/recent-trump-administration-policies-that-impact-health-coverage-and-care-for-immigrant-families\/","title":{"rendered":"Recent Trump Administration Policies that Impact Health Coverage and Care for Immigrant Families"},"content":{"rendered":"<div\n\tclass=\"wp-block-kff-shared-content--standard-layout wp-block-kff-shared-content\">\n\t\n\n<section class=\"wp-block-kff-shared-content-main\">\n\t\t\t<div class=\"post-header\">\n\t\t\t\t\t\n\t<h1 class=\"post-header__title\">Recent Trump Administration Policies that Impact Health Coverage and Care for Immigrant Families<\/h1>\n\n\t\n\t\t\t<div class=\"post-header__meta\">\n\t\t\t\t\t<div>\n\t\t\t\t<span class=\"post-header__meta-label\">\n\t\t\t\tAuthors:\t\t\t\t<\/span>\n\t\t\t\t<a href=\"https:\/\/www.kff.org\/person\/drishti-pillai\/\">Drishti Pillai<\/a> and <a href=\"https:\/\/www.kff.org\/person\/samantha-artiga\/\">Samantha Artiga<\/a> \t\t\t<\/div>\n\t\t\t\t<div>\n\t\t\t<span class=\"post-header__meta-label\">Published:<\/span>\n\t\t\t<date>Oct 8, 2025<\/date>\n\t\t<\/div>\n\t\t<\/div>\n\t\n\t<div class=\"post-header__social-sharing\">\n\t\t<button class=\"post-header__social-sharing__button print\">\n\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n\t\t\t\t<path d=\"M4.348 2.5v3.391H2.783A.787.787 0 0 0 2 6.674v4.696c0 .429.353.782.783.782h1.565V14.5h7.304v-2.348h1.565c.43 0 .783-.353.783-.782V6.674a.787.787 0 0 0-.783-.783h-1.565V2.5H4.348Zm.522.522h6.26v2.87H4.87v-2.87ZM2.783 6.413h1.782a.26.26 0 0 0 .085 0h6.697a.26.26 0 0 0 .086 0h1.784c.148 0 .261.114.261.26v4.697c0 .147-.113.26-.26.26h-1.566V9.283H4.348v2.347H2.783a.257.257 0 0 1-.261-.26V6.674c0-.147.113-.261.26-.261Zm9.39.783a.522.522 0 1 0 0 1.043.522.522 0 0 0 0-1.043ZM4.87 9.804h6.26v2.043a.264.264 0 0 0 0 .086v2.045H4.87v-2.043a.261.261 0 0 0 0-.085V9.804Zm1.043.783a.262.262 0 0 0-.265.26.26.26 0 0 0 .265.262h4.174a.26.26 0 1 0 0-.522H5.913Zm0 1.043a.26.26 0 1 0 0 .522h3.13a.26.26 0 1 0 0-.522h-3.13Zm0 1.044a.26.26 0 1 0 0 .522h4.174a.262.262 0 0 0 .264-.261.26.26 0 0 0-.264-.261H5.913Z\" fill=\"#004B88\" stroke=\"#004B88\" stroke-width=\".5\"\/>\n\t\t\t<\/svg>\n\n\t\t\tPrint\t\t<\/button>\n\t\t<a href=\"mailto:?subject=Recent%20Trump%20Administration%20Policies%20that%20Impact%20Health%20Coverage%20and%20Care%20for%20Immigrant%20Families&#038;body=https%3A%2F%2Fwww.kff.org%2Fimmigrant-health%2Frecent-trump-administration-policies-that-impact-health-coverage-and-care-for-immigrant-families%2F\" class=\"post-header__social-sharing__button\">\n\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n\t\t\t\t<path d=\"M2.333 4.25h-.25v9.14h12.5V4.25H2.333Zm1.083 1.693-.353-.2V5.23h10.54v.513l-.353.2L8.333 8.73 3.416 5.943Zm-.353 6.467V6.884l.107.06 5.04 2.857.123.07.123-.07 5.04-2.857.107-.06v5.526H3.063Z\" fill=\"#004B88\" stroke=\"#004B88\" stroke-width=\".5\"\/>\n\t\t\t<\/svg>\n\n\t\t\tEmail\t\t<\/a>\n\t\t<button class=\"post-header__social-sharing__button copy\">\n\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n\t\t\t\t<path d=\"M11.533 2.9c-.615 0-1.23.235-1.697.702L8.502 4.936a2.4 2.4 0 0 0-.575 2.46l.958-.958a1.32 1.32 0 0 1 .371-.748l1.334-1.333a1.331 1.331 0 0 1 1.886 0c.52.52.52 1.365 0 1.885l-1.334 1.333c-.21.21-.474.331-.748.372l-.958.958a2.393 2.393 0 0 0 2.46-.576l1.334-1.333a2.402 2.402 0 0 0 0-3.394 2.393 2.393 0 0 0-1.697-.702Zm-1.61 3.46a.533.533 0 0 0-.367.162l-3.2 3.2a.533.533 0 1 0 .754.754l3.2-3.2a.534.534 0 0 0-.387-.915ZM6.586 7.973a2.388 2.388 0 0 0-1.816.697l-1.334 1.333a2.403 2.403 0 0 0 0 3.394 2.393 2.393 0 0 0 1.697.702c.614 0 1.229-.234 1.697-.702l1.333-1.334a2.4 2.4 0 0 0 .576-2.46l-.959.958a1.32 1.32 0 0 1-.37.749l-1.334 1.333a1.334 1.334 0 0 1-1.886-1.885l1.334-1.334c.21-.21.474-.331.748-.372l.958-.957c-.21-.07-.426-.11-.644-.122Z\" fill=\"#004B88\"\/>\n\t\t\t<\/svg>\n\n\t\t\t<span>Copy Link<\/span>\n\t\t<\/button>\n\t\t\t<\/div>\n\t<\/div>\n\t\t\t\n\n<h2 class=\"wp-block-heading\" id=\"h-introduction\">Introduction<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Immigrants form a growing share of the U.S. population and workforce, and as of 2024, there were over <a href=\"https:\/\/data.census.gov\/table\/ACSDP1Y2024.DP02?q=how+many+immigrants+are+in+the+U.S.?\">50 million<\/a> immigrants residing in the country. President Trump\u2019s agenda has focused on restricting immigration and enhancing immigration enforcement, which research shows has negative impacts on the mental and physical <a href=\"https:\/\/www.kff.org\/racial-equity-and-health-policy\/kff-survey-of-immigrants-views-and-experiences-in-the-early-days-of-president-trumps-second-term\/\">health<\/a> of immigrant families, including the millions of U.S. <a href=\"https:\/\/www.kff.org\/racial-equity-and-health-policy\/children-of-immigrants-key-facts-on-health-coverage-and-care\/\">citizen children<\/a> living in them, as well as broader economic effects on communities. The Trump administration and Congress also have made policy changes that further restrict access to health coverage and care for immigrant families.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This issue brief provides an overview of Trump administration and Congressional actions that are likely to impact immigrants\u2019 access to health coverage and care, including new restrictions on eligibility for health coverage and services as well as changes in immigration enforcement and other policies. Together, these changes will likely increase uninsured rates and reduce access to care among immigrants and their children. Over the long-term, these changes may also lead to worse health outcomes and have negative impacts on the U.S. economy and workforce, given the major role immigrants play, particularly in certain industries, including <a href=\"https:\/\/www.kff.org\/racial-equity-and-health-policy\/what-role-do-immigrants-play-in-the-hospital-workforce\/\">health care<\/a>, <a href=\"https:\/\/www.kff.org\/racial-equity-and-health-policy\/potential-implications-of-immigration-restrictions-on-the-u-s-agricultural-workforce\/\">agriculture<\/a>, and construction.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-reductions-in-access-to-health-coverage\">Reductions in Access to Health Coverage<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>The 2025 tax and budget law includes significant cuts to the <\/strong><a href=\"https:\/\/www.kff.org\/medicaid\/allocating-cbos-estimates-of-federal-medicaid-spending-reductions-across-the-states-enacted-reconciliation-package\/\"><strong>Medicaid<\/strong><\/a><strong> program as well as <\/strong><a href=\"https:\/\/www.kff.org\/racial-equity-and-health-policy\/potential-impacts-of-2025-budget-reconciliation-on-health-coverage-for-immigrant-families\/\"><strong>eligibility restrictions<\/strong><\/a><strong> that make many lawfully present immigrants (LPIs) ineligible for Medicaid and the Children\u2019s Health Insurance Program (CHIP), subsidized coverage through the Affordable Care Act (ACA) Marketplaces, and Medicare coverage.<\/strong> Under the <a href=\"https:\/\/www.congress.gov\/bill\/119th-congress\/house-bill\/1\/text\">new law<\/a> (H.R.1), eligibility for Medicaid and CHIP, subsidized Marketplace coverage, and Medicare will be limited to lawful permanent residents (LPRs or \u201cgreen card\u201d holders), Cuban or Haitian entrants, and citizens of Compact of Free Association (COFA) residing in the U.S (Table 1). States can also maintain Medicaid and CHIP coverage for lawfully residing pregnant people or children covered through a state option<a> <\/a>as well as through the \u201cFrom-Conception to End of Pregnancy\u201d option, which provides coverage to low-income children regardless of their parent\u2019s immigration status. This change will make many groups of lawfully present immigrants ineligible for coverage, including refugees, asylees, people with Temporary Protected Status (TPS), as well as individuals on work visas, among others. The law also eliminates eligibility for subsidized ACA Marketplace coverage for all lawfully present immigrants with incomes below 100% of the federal poverty level (FPL) who do not qualify for Medicaid coverage due to immigration status. The Congressional Budget Office (CBO) estimates that these coverage restrictions will result in <a href=\"https:\/\/www.cbo.gov\/publication\/61367\">1.4 million<\/a> LPIs becoming uninsured with <a href=\"https:\/\/www.cbo.gov\/publication\/61570\">$131 billion<\/a> in reduced federal spending and $4.8 billion in increased federal revenues by 2034. There is no effect on coverage of undocumented immigrants, who are already ineligible for all federally funded health coverage. Some <a href=\"https:\/\/www.kff.org\/racial-equity-and-health-policy\/state-health-coverage-for-immigrants-and-implications-for-health-coverage-and-care\/\">states<\/a> use their own money to provide health coverage to undocumented immigrants.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.kff.org\/wp-content\/uploads\/sites\/7\/2025\/10\/10836-Table-1.png\"><img loading=\"lazy\" decoding=\"async\" height=\"957\" width=\"1024\" src=\"https:\/\/www.kff.org\/wp-content\/uploads\/sites\/7\/2025\/10\/10836-Table-1.png?w=1024\" alt=\"Table 1: Eligibility for Lawfully Present Immigrants Under the 2025 Tax and Budget Law\" class=\"wp-image-692903\" srcset=\"https:\/\/www.kff.org\/wp-content\/uploads\/sites\/7\/2025\/10\/10836-Table-1.png 3840w, https:\/\/www.kff.org\/wp-content\/uploads\/sites\/7\/2025\/10\/10836-Table-1.png?resize=300,280 300w, https:\/\/www.kff.org\/wp-content\/uploads\/sites\/7\/2025\/10\/10836-Table-1.png?resize=768,718 768w, https:\/\/www.kff.org\/wp-content\/uploads\/sites\/7\/2025\/10\/10836-Table-1.png?resize=1024,957 1024w, https:\/\/www.kff.org\/wp-content\/uploads\/sites\/7\/2025\/10\/10836-Table-1.png?resize=1536,1435 1536w, https:\/\/www.kff.org\/wp-content\/uploads\/sites\/7\/2025\/10\/10836-Table-1.png?resize=2048,1914 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>The new eligibility restrictions for lawfully present immigrants have staggered implementation dates. <\/strong>The eligibility restrictions for Medicare became effective July 4, 2025 (the date that the 2025 tax and budget law was enacted), and current beneficiaries subject to the new restrictions will be disenrolled from coverage no later than 18 months from enactment of the legislation (January 4, 2027). Eligibility for subsidized ACA Marketplace coverage for lawfully present immigrants with incomes below 100% FPL ends January 1, 2026, while the other restrictions for subsidized ACA Marketplace coverage take effect as of January 1, 2027. The eligibility restrictions for Medicaid and CHIP go into effect October 1, 2026 (Table 2).<\/p>\n\n\n\n<div class=\"datawrapper-embed block--datawrapper-embed \">\n\t\t\t\t\t<div style=\"min-height: px;\">\n\t\t\t<script\n\t\t\t\ttype=\"text\/javascript\"\n\t\t\t\tdefer\n\t\t\t\tsrc=\"https:\/\/datawrapper.dwcdn.net\/JsGlt\/embed.js?v=14\"\n\t\t\t>\n\t\t\t<\/script>\n\t\t<\/div>\n\t\t\t<img\n\t\t\tclass=\"datawrapper-embed__print-img\"\n\t\t\tsrc=\"https:\/\/datawrapper.dwcdn.net\/JsGlt\/full.png\"\n\t\t\talt=\"Implementation Dates for Health Coverage Eligibility Restrictions for Lawfully Present Immigrants Under the 2025 Tax and Budget Law\"\n\t\t\/>\n<\/div>\n\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Beyond changes in the law, enhanced premium tax credits are set to expire at the end of 2025, which will make coverage unaffordable for many immigrants and likely lead to coverage losses.<\/strong> Without renewal of the enhanced tax credits, <a href=\"https:\/\/www.healthsystemtracker.org\/brief\/early-indications-of-the-impact-of-the-enhanced-premium-tax-credit-expiration-on-2026-marketplace-premiums\/\" target=\"_blank\" rel=\"noreferrer noopener\">average premiums<\/a> could rise by over 75%, and in some states, they may even <a href=\"http:\/\/kff.org\/affordable-care-act\/issue-brief\/inflation-reduction-act-health-insurance-subsidies-what-is-their-impact-and-what-would-happen-if-they-expire\/\" target=\"_blank\" rel=\"noreferrer noopener\">double<\/a>. As a result, total Marketplace enrollment is <a href=\"https:\/\/www.kff.org\/interactive\/how-much-more-would-people-pay-in-premiums-if-the-acas-enhanced-subsidies-expired\/\" target=\"_blank\" rel=\"noreferrer noopener\">projected<\/a> to fall from 22.8 million in 2025 to 18.9 million in 2026 and 15.4 million by 2030. Without enhanced subsidies, many immigrants who remain eligible could lose access to affordable coverage, particularly in states that have <a href=\"https:\/\/www.kff.org\/affordable-care-act\/how-will-the-2025-budget-reconciliation-affect-the-aca-medicaid-and-the-uninsured-rate\/\" target=\"_blank\" rel=\"noreferrer noopener\">not expanded<\/a> Medicaid to adults.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Some states also have reduced or eliminated state-funded coverage designed to fill gaps in federally funded coverage for immigrants. <\/strong>Three states (California, Illinois, and Minnesota) plus D.C. have recently proposed or enacted budgets to <a href=\"https:\/\/www.kff.org\/racial-equity-and-health-policy\/recent-state-actions-impacting-immigrants-access-to-state-funded-health-coverage-and-other-public-programs\/\">end or limit<\/a> new enrollment of adults in <a href=\"https:\/\/www.kff.org\/racial-equity-and-health-policy\/state-health-coverage-for-immigrants-and-implications-for-health-coverage-and-care\/\">state-funded<\/a> health coverage programs for immigrants regardless of immigration status as part of broader efforts to reduce state budget deficits.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.federalregister.gov\/documents\/2025\/06\/25\/2025-11606\/patient-protection-and-affordable-care-act-marketplace-integrity-and-affordability\"><strong>Regulations<\/strong><\/a><strong> published by the Trump Administration in June 2025 eliminated ACA Marketplace eligibility for Deferred Action for Childhood Arrivals (DACA) recipients on August 25, 2025. <\/strong>Under earlier policy, individuals with DACA status were not considered lawfully present for purposes of health coverage eligibility and remained <a href=\"https:\/\/www.kff.org\/racial-equity-and-health-policy\/key-facts-on-health-coverage-of-immigrants\/\">ineligible<\/a> for Medicaid, CHIP, and ACA Marketplace coverage despite having a deferred action status, which otherwise&nbsp;<a href=\"https:\/\/www.healthcare.gov\/immigrants\/immigration-status\/\">qualified<\/a>&nbsp;for Marketplace coverage.&nbsp;These eligibility restrictions left DACA recipients <a href=\"https:\/\/www.kff.org\/racial-equity-and-health-policy\/issue-brief\/key-facts-on-health-care-use-and-costs-among-immigrants\/\">ineligible<\/a>&nbsp;for federally funded health coverage programs. The Biden administration published&nbsp;<a href=\"https:\/\/public-inspection.federalregister.gov\/2024-09661.pdf\">regulations<\/a>&nbsp;that made DACA recipients <a href=\"https:\/\/www.kff.org\/racial-equity-and-health-policy\/overview-and-implications-of-the-aca-marketplace-expansion-to-daca-recipients\/\">newly eligible<\/a> to purchase&nbsp;ACA Marketplace&nbsp;coverage with premium tax credits and cost sharing reductions beginning November 1, 2024. Following <a href=\"https:\/\/litigationtracker.law.georgetown.edu\/wp-content\/uploads\/2024\/08\/Kansas_2024.12.27_DEFENDANTS-NOTICE-OF-COMPLIANCE.pdf\">legal challenges<\/a>, implementation of the Biden administration regulations was limited to 31 states and D.C. New regulations published by the Trump administration once again made DACA recipients in all states and D.C. ineligible for ACA Marketplace coverage. Most states will terminate coverage for enrolled DACA recipients on September 30, 2025.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>The Trump administration published new guidance regarding <\/strong><a href=\"https:\/\/www.cms.gov\/newsroom\/press-releases\/cms-launches-nationwide-push-remove-ineligible-medicaid-enrollees-uphold-citizenship-requirements\"><strong>verification <\/strong><\/a><strong>of citizenship and immigration status of Medicaid enrollees, which could contribute to disenrollment due to challenges providing documentation<\/strong>. According to the Centers for Medicare and Medicaid Services (CMS), states will be required to separately verify the citizenship or immigration status of individuals whose status cannot be confirmed through federal databases such as the Systematic Alien Verification for Entitlements (SAVE) system based on monthly enrollment reports. Under already existing policies, in addition to meeting other eligibility requirements, lawfully present immigrants must have a \u201c<a href=\"https:\/\/www.healthcare.gov\/immigrants\/lawfully-present-immigrants\/\">qualified non-citizen<\/a>\u201d status to be eligible for Medicaid or CHIP, and many, including most lawful permanent residents or \u201cgreen card\u201d holders, must wait five years after obtaining qualified status before they may enroll. States already are required to <a href=\"https:\/\/www.kff.org\/medicaid\/how-states-verify-citizenship-and-immigration-status-in-medicaid\/\">verify citizenship<\/a> and immigration status with the Social Security Administration (SSA) and the Department of Homeland Security (DHS) SAVE system to determine eligibility for Medicaid coverage at the initial application and provide Medicaid benefits to applicants during a \u201c<a href=\"https:\/\/www.ecfr.gov\/current\/title-42\/chapter-IV\/subchapter-C\/part-435\/subpart-J\/subject-group-ECFRc649656b2ed45a8\/section-435.956\">reasonable opportunity period<\/a>\u201d of 90 days while their immigration status is being verified, if they otherwise meet all eligibility criteria.&nbsp;Although some implementation details of the new verification process announced by CMS remain unclear, it is possible that states will need to re-verify the eligibility of enrollees identified in reports and applicants may need to provide paperwork as proof of their eligible immigration status for manual verification, which could increase administrative burdens on both states and applicants or enrollees and potentially lead to coverage losses due to administrative challenges.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-restricted-access-to-health-and-other-services\">Restricted Access to Health and Other Services<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>The Trump administration issued a policy change that expands the list of health and other service programs that certain immigrants are prohibited from accessing. <\/strong>On July 14, 2025, the U.S. Department of Health and Human Services (HHS) issued a&nbsp;<a href=\"https:\/\/www.federalregister.gov\/documents\/2025\/07\/14\/2025-13118\/personal-responsibility-and-work-opportunity-reconciliation-act-of-1996-prwora-interpretation-of\">notice<\/a>&nbsp;of a policy change to update the definition of \u201cfederal public benefits\u201d as outlined in the&nbsp;<a href=\"https:\/\/aspe.hhs.gov\/reports\/personal-responsibility-work-opportunity-reconciliation-act-1996\">Personal Responsibility and Work Opportunity Reconciliation Act of 1996<\/a>&nbsp;(PRWORA) to add an additional <a href=\"https:\/\/www.kff.org\/racial-equity-and-health-policy\/new-policy-bars-many-lawfully-present-and-undocumented-immigrants-from-a-broad-range-of-federal-health-and-social-supports\/\">13 programs<\/a> to the 31 programs considered \u201cfederal public benefits\u201d that are restricted to individuals with a \u201c<a href=\"https:\/\/www.healthcare.gov\/immigrants\/lawfully-present-immigrants\/\">qualified<\/a>\u201d immigration status. The notice further indicates that the updated list of federal benefits is not exhaustive, and additional programs may be added in the future. Among the 13 new programs added to the list are Head Start, the Health Center Program, and the Title X family planning program, among others (Box 1). This change bars many groups of lawfully present immigrants as well as undocumented immigrants from accessing several health care, educational, and other social services and will likely have negative impacts on the health and well-being of immigrant families. It also may create new challenges and complexities for service providers. This policy change was expected to take effect immediately upon publication of the notice in the federal register on July 14, 2025, although it provided for a 30-day comment period. However, the HHS had to <a href=\"https:\/\/www.hhs.gov\/press-room\/prwora-hhs-bans-illegal-aliens-accessing-taxpayer-funded-programs.html\">delay implementation<\/a> until September 11, 2025, following court orders. Further, on September 10, 2025, a District Court issued an <a href=\"https:\/\/storage.courtlistener.com\/recap\/gov.uscourts.rid.60060\/gov.uscourts.rid.60060.64.0_2.pdf\">injunction<\/a> on the administration\u2019s new policy, blocking the implementation of the policy as it relates to the Health Center Program and Head Start in 20 states and D.C.<\/p>\n\n\n\n<div class=\"is-style-blue-box wp-block-tenup-callout\">\n\t\t\t<p class=\"wp-block-tenup-callout__title\"><strong>Box 1: New Programs Considered \u201cFederal Public Benefits\u201d Under the 2025 Policy Change<\/strong><\/p>\n\t\n\t\t\t<div class=\"wp-block-tenup-callout__content\">\n\t\t\t\n\n<ul class=\"wp-block-list\">\n<li class=\"wp-block-list-item\">Certified Community Behavioral Health Clinics<\/li>\n\n\n\n<li class=\"wp-block-list-item\">Community Mental Health Services Block Grant<\/li>\n\n\n\n<li class=\"wp-block-list-item\">Community Services Block Grant (CSBG)<\/li>\n\n\n\n<li class=\"wp-block-list-item\">Head Start<\/li>\n\n\n\n<li class=\"wp-block-list-item\">Health Center Program<\/li>\n\n\n\n<li class=\"wp-block-list-item\">Health Workforce Programs not otherwise previously covered (including grants, loans, scholarships, payments, and loan repayments)<\/li>\n\n\n\n<li class=\"wp-block-list-item\">Mental Health and Substance Use Disorder Treatment, Prevention, and Recovery Support Services Programs administered by the Substance Abuse and Mental Health Services Administration<\/li>\n\n\n\n<li class=\"wp-block-list-item\">Projects for Assistance in Transition from Homelessness Grant Program<\/li>\n\n\n\n<li class=\"wp-block-list-item\">Substance Use Prevention, Treatment, and Recovery Services Block Grant<\/li>\n\n\n\n<li class=\"wp-block-list-item\">Title IV-E Educational and Training Voucher Program<\/li>\n\n\n\n<li class=\"wp-block-list-item\">Title IV-E Kinship Guardianship Assistance Program<\/li>\n\n\n\n<li class=\"wp-block-list-item\">Title IV-3 Prevention Services Program<\/li>\n\n\n\n<li class=\"wp-block-list-item\">Title X Family Planning Program<\/li>\n\n\n\n<li class=\"wp-block-list-item\">List is not exhaustive and may be added to in the future<\/li>\n<\/ul>\n\n\t\t<\/div>\n\t\n\t\t\t<p class=\"wp-block-tenup-callout__fine-print\">Source: U.S. Department of Health and Human Services (July 2025), \u201c<a href=\"https:\/\/www.hhs.gov\/press-room\/prwora-hhs-bans-illegal-aliens-accessing-taxpayer-funded-programs.html\">HHS Bans Illegal Aliens from Accessing its Taxpayer-Funded Programs<\/a>\u201d<\/p>\n\t<\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-enhanced-immigration-enforcement\">Enhanced Immigration Enforcement<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>President Trump also has increased immigration enforcement activity to support <\/strong><a href=\"https:\/\/www.kff.org\/racial-equity-and-health-policy\/potential-impacts-of-mass-detention-and-deportation-efforts-on-the-health-and-well-being-of-immigrant-families\/\"><strong>mass deportation<\/strong><\/a><strong> and detention, which research shows negatively impacts the health and well-being of immigrant families. <\/strong>The administration has shifted enforcement actions from focusing on criminals and recent border crossers to prioritizing all of the <a href=\"https:\/\/www.pewresearch.org\/race-and-ethnicity\/2025\/08\/21\/u-s-unauthorized-immigrant-population-reached-a-record-14-million-in-2023\/\">estimated<\/a> 14 million undocumented immigrants for deportation, even though many have some form of temporary deportation protections. As a result, there have been <a href=\"https:\/\/www.kff.org\/racial-equity-and-health-policy\/poll-finding\/kff-survey-of-immigrants-views-and-experiences-in-the-early-days-of-president-trumps-second-term\/\">increased<\/a> worries about detention and deportation among immigrants, including among naturalized citizens, and immigrant families with undocumented immigrants report that immigration-related fears have <a href=\"https:\/\/www.kff.org\/racial-equity-and-health-policy\/issue-brief\/living-in-an-undocumented-immigrant-family-under-the-second-trump-administration-fear-uncertainty-and-impacts-on-health-and-well-being\/\">worsened<\/a> their mental health and well-being. KFF survey data from March 2025 find that about a third (32%) of immigrants overall say they have <a href=\"https:\/\/www.kff.org\/racial-equity-and-health-policy\/poll-finding\/kff-survey-of-immigrants-views-and-experiences-in-the-early-days-of-president-trumps-second-term\/\">experienced<\/a> negative health repercussions due to worries about their own or a family member\u2019s immigration status (Figure 1). Immigrants also reported they avoided seeking health care due to concerns about costs and fears, were fearful of accessing public programs, and were confused whether these programs can negatively impact immigration status.<\/p>\n\n\n\n<div class=\"datawrapper-embed block--datawrapper-embed \">\n\t\t\t\t\t<div style=\"min-height: px;\">\n\t\t\t<script\n\t\t\t\ttype=\"text\/javascript\"\n\t\t\t\tdefer\n\t\t\t\tsrc=\"https:\/\/datawrapper.dwcdn.net\/peMQV\/embed.js?v=14\"\n\t\t\t>\n\t\t\t<\/script>\n\t\t<\/div>\n\t\t\t<img\n\t\t\tclass=\"datawrapper-embed__print-img\"\n\t\t\tsrc=\"https:\/\/datawrapper.dwcdn.net\/peMQV\/full.png\"\n\t\t\talt=\"About One-Third of Immigrants Say They Have Experienced Negative Health Impacts Due to Worries About Immigration Status, Rising to Four in Ten Lawfully Present Immigrants\"\n\t\t\/>\n<\/div>\n\n\n\n\n<p class=\"wp-block-paragraph\"><strong>In January 2025, the Trump administration <\/strong><a href=\"https:\/\/www.dhs.gov\/news\/2025\/01\/21\/statement-dhs-spokesperson-directives-expanding-law-enforcement-and-ending-abuse\"><strong>rescinded<\/strong><\/a><strong> longstanding protections that prohibited immigration enforcement action in certain areas including health care facilities, schools, and places of worship.<\/strong>&nbsp;Based on a <a href=\"https:\/\/www.ice.gov\/doclib\/ero-outreach\/pdf\/10029.2-policy.pdf\">memorandum<\/a> originally issued by the Director of U.S. Immigration and Customs Enforcement (ICE) in 2011, immigration enforcement actions were prohibited from occurring in \u201csensitive locations\u201d such as health care facilities, schools, and places of worship, with limited exceptions. In 2021, the Biden administration issued an <a href=\"https:\/\/www.ice.gov\/doclib\/news\/guidelines-civilimmigrationlaw10272021.pdf\">updated memorandum<\/a> further strengthening and expanding these protections by including disaster relief areas and other sites of essential services on the list of \u201csensitive locations\u201d. Following the recission of these longstanding protections by the Trump administration, there have been reports of ICE agents showing up at <a href=\"https:\/\/calmatters.org\/health\/2025\/08\/immigration-hospitals-workers-fear\/\">hospitals<\/a>. Some health care facilities have invested resources into <a href=\"https:\/\/www.npr.org\/sections\/shots-health-news\/2025\/02\/25\/nx-s1-5307229\/health-care-workers-are-rushing-to-learn-about-immigration-law-in-case-of-ice-raids\">training staff<\/a> on how to comply with the new policy. Health care providers also have expressed concerns about the new policy <a href=\"https:\/\/www.cbsnews.com\/news\/doctors-fear-ice-agents-health-care-facilities-deterring-people\/\">deterring<\/a> individuals in immigrant families from seeking health care. In <a href=\"https:\/\/www.kff.org\/racial-equity-and-health-policy\/living-in-an-undocumented-immigrant-family-under-the-second-trump-administration-fear-uncertainty-and-impacts-on-health-and-well-being\/\">KFF focus groups<\/a> conducted with likely undocumented Hispanic immigrants, several participants talked about avoiding seeking health care due to concerns about potential enforcement risks.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Immigration-related worries may be exacerbated by the Trump administration\u2019s actions to share Medicaid enrollee information with enforcement officials. <\/strong>In June 2025, there were reports of the Trump administration sharing the <a href=\"https:\/\/www.kff.org\/racial-equity-and-health-policy\/what-privacy-and-protection-standards-are-in-place-for-medicaid-enrollees-personal-data\/\">personal and health<\/a> data of noncitizen Medicaid enrollees with the DHS for purposes of immigration enforcement despite concerns related to the violations of federal and state data privacy protections. A federal court in California issued a preliminary injunction in August 2025 that <a href=\"https:\/\/oag.ca.gov\/system\/files\/attachments\/press-docs\/98%20Order%20Granting%20in%20Part%20and%20Denying%20in%20Part%20PI.pdf\">temporarily blocks<\/a> the Trump administration from sharing enrollee data for the purposes of immigration enforcement in 20 states that filed a lawsuit against the administration. Breaches or sharing of Medicaid enrollees\u2019 information for purposes other than the provision of health coverage and care pose risks for individuals and may jeopardize confidence in the security of data held by agencies. They may also exacerbate immigration-related fears, potentially leading to immigrants and their children foregoing enrollment in health coverage or seeking health care.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-reducing-federal-language-access-resources\">Reducing Federal Language Access Resources<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>On March 1, 2025, President Trump signed <\/strong><a href=\"https:\/\/www.whitehouse.gov\/presidential-actions\/2025\/03\/designating-english-as-the-official-language-of-the-united-states\/\"><strong>Executive Order 14224<\/strong><\/a><strong> designating English as the official language of the United States with subsequent guidance suggesting the elimination or phasing out of some language access services.<\/strong> The Trump administration\u2019s actions represent a departure from previous administrations\u2019 policies around language access, and it is the first time in the country\u2019s history that the U.S. has declared an official language at the federal level.&nbsp;Based on an accompanying <a href=\"https:\/\/www.whitehouse.gov\/fact-sheets\/2025\/03\/fact-sheet-president-donald-j-trump-designates-english-as-the-official-language-of-the-united-states\/\">fact sheet<\/a> released by the administration, all services currently offered in other languages will be reviewed, and non-necessary services will be phased out. However, the Executive Order also states that federal agencies or other agencies that receive federal funding, such as hospitals and doctors&#8217; offices, are not required to stop existing language services due to existing laws and regulations which supersede this guidance. Data from the 2023 KFF <a href=\"https:\/\/www.kff.org\/racial-equity-and-health-policy\/five-key-facts-about-immigrants-with-limited-english-proficiency\/\">Survey of Immigrants<\/a> find that about half (47%) of immigrant adults report having limited English proficiency (LEP) and that immigrant adults with LEP are more likely than their English proficient counterparts to report barriers to accessing health care and to have worse self-reported health.&nbsp;Reduced availability of language access resources could exacerbate the challenges immigrants with LEP already face and negatively impact their health and health care.<\/p>\n\n\t<div class=\"post-footer\">\n\t<div class=\"post-footer__title\">More On<\/div>\n\t<div class=\"post-footer__links\">\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.kff.org\/topic\/immigrant-health\/\">\n\t\t\t\tImmigrant Health\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.kff.org\/tag\/aca-marketplaces\/\">\n\t\t\t\tACA Marketplaces\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.kff.org\/tag\/access-to-care\/\">\n\t\t\t\tAccess to Care\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.kff.org\/tag\/eligibility\/\">\n\t\t\t\tEligibility\t\t\t<\/a>\n\t\t\t<\/div>\n<\/div>\n\t<\/section>\n\n\n<section class=\"wp-block-kff-shared-content-sidebar\">\n\t\t\t\n\t\t\n<div class=\"wp-block-kff-shared-related-content--green wp-block-kff-shared-related-content\">\n\t<h2 class=\"wp-block-kff-shared-related-content__heading\">Related Content<\/h2>\n\t<div>\n\t\t\t<div class=\"wp-block-kff-shared-related-content__card\">\n\t\t\t<a href=\"https:\/\/www.kff.org\/racial-equity-and-health-policy\/potential-impacts-of-2025-budget-reconciliation-on-health-coverage-for-immigrant-families\/\" class=\"wp-block-kff-shared-related-content__link\">\n\t\t\t\t<h3 class=\"wp-block-kff-shared-related-content__card-title\">\n\t\t\t\t\tPotential Impacts of 2025 Budget Reconciliation on Health Coverage for Immigrant Families\t\t\t\t<\/h3>\n\t\t\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t<div class=\"wp-block-kff-shared-related-content__card\">\n\t\t\t<a href=\"https:\/\/www.kff.org\/immigrant-health\/1-4-million-lawfully-present-immigrants-are-expected-to-lose-health-coverage-due-to-the-2025-tax-and-budget-law\/\" class=\"wp-block-kff-shared-related-content__link\">\n\t\t\t\t<h3 class=\"wp-block-kff-shared-related-content__card-title\">\n\t\t\t\t\t1.4 Million Lawfully Present Immigrants are Expected to Lose Health Coverage due to the 2025 Tax and Budget Law\u00a0\t\t\t\t<\/h3>\n\t\t\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t<div class=\"wp-block-kff-shared-related-content__card\">\n\t\t\t<a href=\"https:\/\/www.kff.org\/immigrant-health\/kff-new-york-times-2025-survey-of-immigrants-health-and-health-care-experiences-during-the-second-trump-administration\/\" class=\"wp-block-kff-shared-related-content__link\">\n\t\t\t\t<h3 class=\"wp-block-kff-shared-related-content__card-title\">\n\t\t\t\t\tKFF\/New York Times 2025 Survey of Immigrants: Health and Health Care Experiences During the Second Trump Administration\t\t\t\t<\/h3>\n\t\t\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\t\t\t<\/section>\n\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>issue brief provides an overview of actions by the Trump administration and Congress that are likely to affect lawfully present immigrants\u2019 access to health coverage and care, including new restrictions on eligibility for coverage and services as well as changes in immigration enforcement and other policies. <\/p>\n","protected":false},"author":155412821,"featured_media":693112,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"exhibits":[],"authors":[{"type":"foundation","id":550686,"name":"","_id":"f40ed549-0d95-4714-9927-441cc63174f8"},{"type":"foundation","id":49509,"name":"","_id":"165fdde3-d681-484f-b7ca-e4d0c3dba18b"}],"jetpack_post_was_ever_published":false,"ep_exclude_from_search":false,"_classifai_error":"","_classifai_text_to_speech_error":"","hide_from_search":false,"show_featured_image":false,"subheading":"","tag":"","search_keywords":"10836","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"shortlink":"","footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"enabled":false},"version":2}},"categories":[48441],"tags":[954238,632330,748294],"partner":[],"content-types":[579145483],"program":[155099461],"series":[],"class_list":["post-692545","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-immigrant-health","tag-aca-marketplaces","tag-access-to-care","tag-eligibility","content-types-issue-brief","program-racial-equity-and-health-policy-program"],"yoast_head":"<!-- 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