Commonwealth Fund October 15, 2025
TOPLINES
More than 1 million lawfully present immigrants will lose access to affordable marketplace health coverage, Medicaid, and Medicare, beginning in 2026, as a result of H.R. 1 and a new federal rule
With fewer immigrants receiving marketplace coverage, insurance risk pools will get smaller — and premiums for everyone are likely to rise
Historically, immigrants who are “lawfully present” in the United States but not citizens have had access to certain benefits, including financial help to purchase health coverage. This explainer clarifies what health coverage is available to immigrants in the United States and how this will change because of the 2025 reconciliation law known as H.R. 1 and recent rule changes from the U.S. Department of Health and...
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