![]() ![]() About six in ten noncitizens were lawfully present immigrants, while the remaining four in ten were undocumented immigrants (see Text Box 1). In 2021, there were 20.8 million noncitizens and 23.9 million naturalized citizens residing in the U.S., who accounted for about 6% and 7% of the total population, respectively (Figure 1). Addressing the needs of immigrants is of growing importance as the pandemic has likely worsened the health and financial challenges faced by immigrants and there has been increasing immigration activity in the U.S.-Mexico border region. However, even with these actions, it will likely take time and sustained community-led efforts to rebuild trust and reduce fears surrounding the use of services among immigrant families. It also increased funding for Navigator programs that provide enrollment assistance to individuals, which is particularly important for helping immigrant families enroll in coverage. The Biden Administration reversed prior Trump Administration changes to public charge rules, which may help reduce fears among immigrant families about participating in non-cash assistance programs, including Medicaid and CHIP. However, many immigrants, particularly those who are undocumented, remain ineligible for coverage options.īroad sustained efforts to rebuild trust and reduce fears about accessing programs and services will be important for supporting the health and well-being of immigrant families. At the state level, there has been continued take up of options to expand Medicaid and CHIP coverage for lawfully present immigrant children and pregnant people, and a small but growing number of states have expanded fully state-funded coverage to certain low-income people regardless of immigration status. At the federal level, legislation has been proposed that would expand eligibility for health coverage for immigrants, though it faces no clear path to passage in Congress. There has been some recent activity to expand access to health coverage for immigrants, but gaps remain. Reflecting this more limited access and use, immigrants have lower health care expenditures than their U.S.-born counterparts. 20%), and going without needed medical care in the past 12 months due to its cost (10% vs. 20%), not having had a doctor’s visit in the past 12 months (32% vs. Among nonelderly adults, noncitizens are significantly more likely than citizens to report not having a usual source of care (33% vs. Reflecting their higher uninsured rates, noncitizen immigrants face increased barriers to accessing health care and use less health care than citizens. ![]() Those who are eligible for coverage also face a range of enrollment barriers including fear, confusion, and language and literacy challenges. Noncitizens are more likely to be uninsured than citizens because they have more limited access to private coverage due to working in jobs that are less likely to provide health benefits and they face eligibility restrictions for public coverage options, including Medicaid, the Children’s Health Insurance Program (CHIP), and Marketplace coverage. Among citizen children, those with at least one noncitizen parent were twice as likely to be uninsured as those with citizen parents (8% vs. In 2021, among the nonelderly population, one in four (25%) lawfully present immigrants and almost half (46%) of undocumented immigrants were uninsured compared to less than one in ten (8%) citizens. ![]() Noncitizens are significantly more likely than citizens to be uninsured. One in four children has an immigrant parent, including over one in ten (12%) who are citizen children with at least one noncitizen parent. Many individuals live in mixed immigration status families that may include lawfully present immigrants, undocumented immigrants, and/or citizens. Noncitizens include lawfully present and undocumented immigrants. In 2021, there were 20.8 million noncitizens in the United States, accounting for about 6% of the total U.S. Note: This content was updated on Jto clarify state options for coverage of pregnant people and on Mato incorporate newly available data. ![]()
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