Guest post by Max Hadler, Senior Health Policy Manager at the New York Immigration Coalition.
Immigrant New Yorkers are under relentless attack from the anti-immigrant forces that wield the levers of control in Washington, DC. In this environment, it falls on New York State to devise solutions to the crisis. Access to health care represents a key element of immigrant inclusion and protection that state and local governments must address. In acknowledgment of the ongoing health access disadvantages that immigrants face and the acute needs related to the current sociopolitical dynamic, the New York State Assembly has called a public hearing on immigrant health for 10am on December 13. Public testimony is strongly encouraged from anyone with a stake in immigrant health access. The hearing will be held at 250 Broadway, New York, NY. This is the official Hearing Notice.
The hearing has been called by Assembly Health Committee Chair Richard Gottfried and cosponsored by New Americans Task Force Chair Michaelle Solages and Puerto Rican/Hispanic Task Force Chair Marcos Crespo. Coverage 4 All, a campaign of Health Care For All New York led by the New York Immigration Coalition and Make the Road New York, has been instrumental in advocating for the hearing. The campaign’s goal is to expand insurance eligibility to all New Yorkers to reduce disparities in coverage (noncitizens are five times more likely than citizens to be uninsured), but coverage is just one of the many current threats to immigrant health access:
- Persistent restrictions on health coverage based on immigration status, exacerbated by the Trump administration’s cancellation of many forms of immigration relief
- Pervasive fear of using health care services because of the dramatic increase in immigration enforcement and threats against immigrant communities
- Acute behavioral health care needs layered on a system that already cannot meet the demand for culturally and linguistically responsive behavioral health services
- Major cuts to uncompensated care funding that threaten the financial sustainability of safety-net health care systems
- Language access laws that lack sufficient monitoring and enforcement mechanisms
We strongly encourage testimony from anyone with a stake in immigrant health access – directly affected community members, concerned citizens, immigrant rights advocates, health care consumer advocates, health care providers, social services providers, legal services providers, local and state health officials, and faith communities, to name a few. This hearing is an unprecedented chance to voice concerns to the New York State Assembly, and to propose solutions the state can undertake to improve immigrant health access. Do not miss this opportunity!
NOTE: You must receive an invitation to testify. If you would like an invitation, please e-mail Claudia Calhoon of the New York Immigration Coalition at email@example.com. If you are unable to attend the hearing in person, you are strongly encouraged to submit written testimony (the email for written submissions is included in the official Hearing Notice).
Guest post by Ben Anderson, Director of Health Policy at Children’s Defense Fund-NY. Here we are 39 days and counting since the September 30th deadline for Congress to fund the Children’s Health Insurance Program (CHIP), and yet families of the 350,000 New York children who depend on CHIP for coverage are still waiting for Congress to act. Sadly, once again children are being held hostage to political debates.
Created specifically for children, CHIP’s benefits and provider networks are designed to ensure children in working families who are not eligible for Medicaid have access to child-appropriate services, providers, specialists, and facilities. Despite bipartisan support for a strong, five-year extension of CHIP in both the House of Representatives and the Senate, debate continues about how to pay for CHIP and the extension of other important health programs.
Last week, the House of Representatives passed the Championing Healthy Kids Act, a bill that includes the same strong, bipartisan five-year extension of CHIP that the House Energy and Commerce and Senate Finance Committees approved and that most child health advocates strongly support. However, the bill passed by the House pays for the extension of CHIP and other critical health programs for vulnerable populations with offsets that would cause undue harm to children and families. These provisions passed over the objections of many in the House and are jeopardizing the bill’s passage in the Senate.
The sad irony is that Congress is bickering over how to fund CHIP and other programs in the bill, when the total cost for these programs is merely 1% of the amount Congress will add to the deficit to provide tax cuts to the wealthiest individuals in America. The senselessness must end. We’re so close to the finish line. There is bipartisan support for CHIP. Senate and House members, Republicans and Democrats alike, agree on what we need to do for children’s health. Congress needs to finish its homework and reach a bipartisan consensus on funding CHIP.
Guest post by Max Hadler, Senior Health Policy Manager at the New York Immigration Coalition. On Tuesday, September 5, the Trump administration announced that it was terminating the Deferred Action for Childhood Arrivals (DACA) program in six months. The announcement sets in motion a process to further disrupt the lives of 800,000 individuals who President Trump has been threatening since he launched his campaign in 2015. Created by an executive order signed by President Barack Obama in 2012, DACA provides two-year work authorizations and deferral of deportation to DREAMers – people who came to the U.S. before the age of 16, have resided in the country continuously since 2007, do not have a criminal record, and have either graduated from high school, are currently enrolled in an educational program, or have served in the U.S. military.
The cruelty and inhumanity of Trump’s DACA decision have serious health implications. Most acutely, the stress and anxiety caused by the uncertainty around DACA have created an immediate need for mental health services for recipients and their families. The rescission undermines the powerful emotional healing effect DACA has had on U.S. citizen children with DACAmented mothers, an impact recently highlighted in this Science article.
At a time when DACA recipients most need access to comprehensive health coverage, the termination of the program profoundly threatens their eligibility for any coverage at all. As a result of the work authorizations granted by their DACA status, many of the 42,000 DACAmented New Yorkers are covered by employer-sponsored insurance. Once their work authorizations expire, these individuals will lose access to both their jobs and their health insurance.
The impending end of DACA is particularly important in New York. Our state considers DACA recipients to be “permanently residing under color of law,” or PRUCOL, and thus eligible for state-funded Medicaid. As a result, between 5,000 and 10,000 DACAmented New Yorkers have Medicaid coverage. Many advocates believe there is a legal argument that DACA recipients should still be considered PRUCOL after they lose DACA status, but it remains unclear if the State agrees.
Even without a specific legal underpinning, the state can and should continue to cover this population. The Department of Health seemed to acknowledge this by releasing a statement on Tuesday that read in part, “New York State believes it has a legal and moral obligation to exhaust every available avenue to protect immigrants and their families by providing comprehensive access to health care, regardless of circumstance.”
The Coverage 4 All campaign has proposed a number of solutions for New York State. To start, New York can ensure the continued coverage of DACA recipients through state-financed Medicaid. There are also existing policy proposals that would protect a broader range of young adult immigrants, including those who lose their employer-sponsored insurance. Assembly Bill 8054 would expand the Child Health Plus program to age 29, extending New York’s universal children’s coverage program to young adults currently excluded because of their status, including many of the DREAMers who stand to lose their coverage when their DACA authorizations expire.
The DACA decision is only the latest attack on immigrant communities from the Trump administration. In this hostile environment, it is imperative that New York State take action to meaningfully protect and promote the health coverage of its immigrant residents.
*Anyone in New York City in need of mental health services should call NYC WELL, a hotline staffed by licensed counselors trained to help with anxiety, depression, and other issues. NYC WELL counselors have been specifically trained to work with call-ins related to DACA.
Last night, Senate Republicans failed in their last ditch effort to repeal the ACA and dismantle Medicaid. A huge thank you to our members, partners, and friends for all of your hard work and activism over the last nine months.
Your resistance is the reason they keep failing.
Unfortunately, the fight is not over. The President is still threatening to end Cost Sharing Reduction payments that reduce out of pocket costs for moderate income Americans and there is a House budget proposal that would cut trillions of dollars from Medicaid and other health care and entitlement programs over the next 10 years.
Seven of NY’s Representatives voted to pass an anti-health care bill in the House: Chris Collins, John Faso, Peter King, Tom Reed, Claudia Tenney, and Lee Zeldin. They may soon have another chance to decide our fate through the budget process – this Saturday, show them in person that those first votes were a mistake!
Here’s what you ca do to stay engaged:
- Join people across the country at demonstrations. We already know about events in places like Beacon, Kingston, Delhi, New Hartford, New York City, and Glens Falls. We’ll add events to our eventspage as soon as we learn about them so keep checking!
- You could also plan your own event! The Our Lives on the Linesite has some tools to help you do this, but all you really need to do is show up at your Representatives’ offices with signs or letters telling them not to support any bill that takes health care away from people.
We’ve come so far – and we won’t stop fighting now!