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Public Charge: Reducing the Chilling Effect on MediCal Participation Due to the 2018 Proposed Public Charge Rule

Publication Topics

California Health Interview Survey; 2015 California Health Interview Survey (CHIS 2015); 2016 California Health Interview Survey (CHIS 2016); 2017 California Health Interview Survey (CHIS 2017); Health Insurance Coverage and Programs; Healthy Families(SCHIP) State Children's Health Insurance Program; Medicaid/Medi-Cal; Uninsured; Barriers to/Disparities in Health Care; Low-Income; Racial and Ethnic Groups; Immigrant; Asian; Hispanic/Latino

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Policy Research Report

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​On October 10, 2018, the U.S. Department of Homeland Security (DHS) formally proposed the first major change to the “public charge” rule since 1996, drastically broadening the grounds on which an immigrant could be denied legal permanent residency or admission to the United States. The proposed rule broadens the definition of public charge to include immigrants who use one or more government programs, expands the list of public benefits previously considered and adds specific requirements to the public charge test for income, health, age and even English proficiency.
The anti-immigrant rhetoric from the Administration coupled with policy change proposals have created fear and confusion within immigrant communities and families are disenrolling from fear of immigration related consequences. In 2018, one in seven immigrants disenrolled from key safety net programs. Known as the chilling effect, or “not applying for or stopping participation…because of concerns that [one]…could be disqualified from obtaining a green card,” families are rapidly disenrolling from programs.
The proposed rule change led to a partnership between the California Immigrant Policy Center and the UCLA Luskin School of Public Affairs on policy changes that could reduce the impact of public charge on MediCal, in particular. The three policy solutions explored in the full report include:
1. Express Lane Eligibility (ELE), which would use enrollment in other means-tested public benefits programs to verify eligibility and automatically enroll and renew beneficiaries in Medi-Cal.
2. A Naturalization Campaign that would notify people of their eligibility for application fee waivers plus education and legal support.
3. Real-Time Eligibility Determination (RTED) to simplify and automate Medi-Cal enrollments and renewals.
This report cites Proposed Changes to Immigration Rules Would Cost California Jobs, Harm Public Health: Data Tables,
a study published by the UCLA Center for Health Policy, and containing California Health Interview Survey (CHIS) data.


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Report: Public Charge: Reducing the Chilling Effect on MediCal Participation Due to the 2018 Proposed Public Charge Rule

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Press Release

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California Health Interview Survey (CHIS)

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Version: 2.0
Created at 10/30/2019 10:52 AM by i:0#.f|uclachissqlmembershipprovider|celeste
Last modified at 10/30/2019 11:06 AM by i:0#.f|uclachissqlmembershipprovider|celeste