Top 10 Suggestions for State Advocacy Regarding H.R. 1 Changes to Medicaid Eligibility for Immigrants
A policy guidance document outlining practical steps states can take to reduce harm to immigrant communities following major Medicaid eligibility restrictions enacted under federal budget reconciliation legislation.
This resource explains how recent federal changes significantly narrow Medicaid eligibility for many immigrants and presents ten concrete advocacy strategies for state implementation.
It focuses on actions such as preserving coverage for children and pregnant people where permitted, ensuring clear and accessible eligibility notices, preventing unnecessary re-verification of immigration status, and strengthening call center, system testing, and language-access practices. The document emphasizes due process, administrative fairness, and proactive state-level choices to mitigate coverage loss and reduce administrative harm.
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