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Just Thoughts is the blog of the Empire Justice Center, New York’s statewide, multi-issue, multi-strategy public interest law firm focused on changing the “systems” within which poor and low income families live. Here staff and guest authors will share stories, announcements and perspectives on timely issues related to our work.



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Simplifying the Complexities Surrounding Immigrant Access to Health Care


Last week we released a two part report about immigrant access to health care in New York.  The first part describes the evolution of the patchwork of laws passed by Congress that impact immigrant access to health care, including the federal Affordable Care Act, and how this complicates determining immigrant access to existing and emerging health care coverage options in New York State.

At the end of this section we discuss New York’s proposed online Health Insurance Exchange application, and how New York could fine tune it.  Our biggest recommendation is to fully incorporate the Department of Health’s ground breaking process for pre-certifying undocumented immigrants for Emergency Medicaid through the online Exchange application.  Why?  We believe pre-certification will encourage immigrant families to apply for health care coverage through the Exchange, and it will help the hospitals that serve as safety nets for the uninsured maximize their revenues.

The second part of our report is a detailed “Immigrant Eligibility Crosswalk” and a glossary of status related terms.  This crosswalk, which lists New York’s health insurance programs along the top and noncitizen statuses along the left hand side, allows users to easily locate the particular health insurance programs for which a noncitizen in a specific status will be eligible.  This new tool will help policymakers, health care staff and advocates navigate the complex intersections of immigration status and health care coverage eligibility that we described in part one of the report.

Empire Justice will be scheduling a webinar to familiarize people with the report and to get the word out about the crosswalk and the Health Department’s approach to pre-certifying immigrants for Emergency Medicaid.

In the meantime, please take a look at our report and the crosswalk and let us know what you think.



Tags: immigrants | health care | Medicaid | Affordable Care Act | health insurance | access to health care | health insurance exchange




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