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Additional Information on Insurance Coverage for Unauthorized Immigrants Under Proposed Health Care Legislation

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CBO: Additional Information on Insurance Coverage for Unauthorized Immigrants Under Proposed Health Care Legislation, September 22, 2009 – Letter to the Honorable Chuck Grassley

  • “Under current law, CBO projects that the non elderly unauthorized immigrant population will total about 14 million in 2019. Of those individuals, nearly 60 percent (about 8 million) will be uninsured. A further 25 percent (about 4 million) will have employment-based coverage, and about 7 percent (1 million) will have some alternative form of insurance (other than Medicaid). The remaining 10 percent (about 1 million) will make use of some Medicaid coverage, reflecting the current law that allows unauthorized immigrants—who are not eligible for full Medicaid benefits—to receive limited Medicaid coverage for emergency care if they would be eligible for the program apart from their unauthorized status. The number using Medicaid may also include some unauthorized immigrants who manage to obtain full Medicaid coverage even though they do not qualify for it; however, we believe that state agencies administering the Medicaid program successfully screen out most ineligible individuals.”
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