QUESTION

Will getting health insurance through Medicaid, CHIP, or health insurance marketplaces affect an individual’s ability to obtain lawful permanent status or citizenship?

Individuals with no coverage | Navigating Health Insurance Marketplace Options
ANSWER

Currently, getting health insurance through Medicaid, CHIP, or the marketplaces will not prevent an individual from obtaining lawful permanent status or citizenship. (45 C.F.R. § 155.260; HealthCare.gov, More information for immigrant families).

Note that in October 2018, the Trump Administration proposed an expansion to the current policy that determines whether certain immigrants would be considered a “public charge.” While the rule is not finalized, it may eventually impact individuals seeking admission to the U.S. or seeking to adjust status to lawful permanent residence (green card) applying for or using certain public benefits, like Medicaid. Under current and proposed rules, the application and use of premium tax credits and cost-sharing reductions are exempted from the public charge determination test. If the rule is finalized, you will have time to act before the rule goes into effect, and thus can still apply for and use public benefits including Medicaid in the interim.

Individuals with no coverage
Individuals with coverage
Coverage for small employers
Post enrollment issues