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Sharing of Medicaid enrollees’ information for purposes other than the provision of health coverage and care pose risks for individuals and may jeopardize confidence in the security of data held by agencies

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Federal regulations also require states to publicize the confidential nature of information applicants and beneficiaries submit to them. Reflecting this requirement, many states have information on their websites specifying that data shared with Medicaid will be protected.

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The Social Security Act and regulations require that the “the use or disclosure of information concerning applicants and beneficiaries” must be restricted to “purposes directly connected” with administering state health coverage programs.

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As outlined in our @kff.org policy watch, federal and state laws and regulations provide protections designed to safeguard Medicaid applicant and enrollee data. These protections limit the use and sharing of personal information for administering the program. www.kff.org/policy-watch...

What Privacy and Protection Standards are in Place for Medicaid Enrollees’ Personal Data?  | KFF

This policy watch discusses the data privacy protections in Medicaid and the implications of breaches or violations of those protections.

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Samantha Artiga @sartiga.bsky.social · 22/05/2025

The latest version of the penalty would apply to the 14 states & DC that cover undocumented immigrants with state funds. States that cover other lawfully residing groups through other pathways could be affected.

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Samantha Artiga @sartiga.bsky.social · 22/05/2025

The final bill passed by the House limited the penalty to states covering immigrants who are not a “qualified alien” or lawfully residing “child or pregnant woman” covered under the Medicaid option.

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Reposted by Samantha Artiga

KFF @kff.org · 21/05/2025

⚡ KFF’s @sartiga.bsky.social writes about how a small change in the reconciliation bill being considered by the House rules committee makes a big change in what’s at stake for health coverage of lawfully residing immigrant children and pregnant people. #QuickTake on.kff.org/43NYyH9

KFF graphic featuring a quote from Samantha Artiga, KFF vice president and director of the Racial Equity and Health Policy Program. It says, “If states maintain their coverage, the federal Medicaid match penalty for expanding coverage to immigrants, including lawfully residing children and/or pregnant people, could shift $153 billion from the federal government to the 33 affected states and DC over the next 10 years.”

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If states eliminate coverage to avoid the FMAP penalty more than 1.9 million people covered through state-funded programs for immigrants and additional lawfully residing children and pregnant people covered through the Medicaid/CHIP option could lose coverage with most likely becoming uninsured

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Additionally, 9 of the 33 states that would be affected by the penalty have laws that automatically end expansion or require changes if the federal match rate drops, meaning the provision could result in funding and coverage losses for the entire ACA Medicaid expansion in these states

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The federal Medicaid match penalty for expanding coverage to immigrants, including lawfully residing children and/or pregnant women, could shift $153 billion from the federal government to the 33 affected states and DC over the next 10 years

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The revision expanded the penalty from 14 states & DC that cover undocumented immigrants with state funds to 33 states & DC that use a Medicaid/CHIP option to expand coverage for lawfully residing children and/or pregnant people

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The reconciliation bill would penalize states that have expanded coverage to immigrants by reducing their federal Medicaid match rate for the ACA expansion group from 90% to 80%

Samantha Artiga @sartiga.bsky.social · 16/05/2025

These provisions would likely increase the uninsured rate among immigrant families, including citizen children in those families, and have broader ramifications for the nation’s workforce and economy given the role immigrants play.

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Samantha Artiga @sartiga.bsky.social · 16/05/2025

Proposed changes include: *Medicaid FMAP penalty for states covering undocumented immigrants with their own funds *Eliminating required Medicaid coverage for people while they are verifying immigration status *Eliminating Marketplace and Medicare eligibility for many lawfully present immigrants

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Samantha Artiga @sartiga.bsky.social · 13/05/2025

The proposal also raises questions related to the balance of power between the federal government and states and whether the federal government can condition federal Medicaid financing on state actions with their own funds

Samantha Artiga @sartiga.bsky.social · 13/05/2025

Federal savings would only be realized if states maintain their programs and have their federal match rate for the Medicaid expansion population reduced from 90% to 80% If states eliminate their programs, there would likely be increased uninsured rates and barriers to care for immigrant families.

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Samantha Artiga @sartiga.bsky.social · 12/05/2025

14 states + DC use state-only funds to provide health coverage to children regardless of immigration status, with 7 states + DC also covering some adults These programs fill gaps in coverage for immigrants who remain ineligible for federally-funded coverage www.kff.org/racial-equit...

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In @kff.org focus groups with Hispanic immigrants who are undocumented or living with an undocumented family member, some said they have become increasingly fearful of going to work and/or that they have noticed fewer workers showing up at their workplaces due to immigration-related fears

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@kff.org Survey of Immigrants data show 1 in 5 lawfully present immigrants say they or a family member have limited participation in activities outside the home, including attending church, seeking medical care, or going to work, since January due to immigration concerns

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Hispanic immigrants who are undocumented or living with an undocumented family member detail how immigration-related fears have taken a toll on their and their children's mental health and well-being in @kff.org focus groups

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@kff.org Survey of Immigrants data show about 1 in 3 immigrants overall say they have experienced negative health repercussions due to worries about their own or a family member’s immigration status since January, rising to 4 in 10 lawfully present immigrants

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@kff.org focus groups provide further insights into immigration-related fears experienced among Hispanic immigrants who are undocumented or living with an undocumented family member www.kff.org/racial-equit...

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The latest @kff.org Survey of Immigrants documents a sharp rise in worries about detention and deportation since 2023, even among lawfully present immigrants and citizens 6 in 10 lawfully present immigrants worry they or a family member could be detained or deported www.kff.org/racial-equit...

KFF Survey of Immigrants: Views and Experiences in the Early Days of President Trump's Second Term | KFF

The latest KFF Survey of Immigrants finds that immigrants’ worries about detention or deportation have risen sharply since 2023, even among lawfully present immigrants and naturalized citizens. This p...

Samantha Artiga @sartiga.bsky.social · 27/03/2025

New @kff.org survey and focus group reports document how the immigration policy landscape is affecting the daily lives, health, and well-being of immigrant families. These impacts may have long-term negative effects on health, including their children's health, and the nation’s economy and workforce

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In implementing President Trump’s orders to eliminate DEI initiatives, the administration has taken broader action to eliminate priorities, actions, data, and funding related to diversity and disparities, which could widen racial health disparities: www.kff.org/racial-equit...

Elimination of Federal Diversity Initiatives: Implications for Racial Health Equity | KFF

This brief explains the potential impacts of the elimination of diversity and disparities-related initiatives under the Trump administration on racial health disparities.

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Samantha Artiga @sartiga.bsky.social · 20/02/2025

Undocumented immigrants are not eligible for federally-funded health programs, including Medicaid, Medicare, and the ACA Marketplaces. Immigrants pay more into the health care system than they use, helping to subsidize health care for U.S. born citizens. www.kff.org/racial-equit...

5 Key Facts About Immigrants and Medicaid | KFF

Confusion persists about immigrants’ eligibility for federal programs, with about half or more of U.S. adults and immigrants adults saying they are unsure or incorrectly believe that most immigrants t...

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5. Immigrants use less health care and have lower health care costs than people born in the U.S. Immigrants also contribute to the economy through their role in the workforce, including health care, and tax payments.

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4. Many states have expanded Medicaid coverage for lawfully present immigrant children and pregnant people, and some have fully state-funded coverage for immigrants. Research shows that state coverage expansions for immigrants improve access to and use of health care.

3. Emergency Medicaid makes up less than 1% of total Medicaid spending. Emergency Medicaid reimburses hospitals for emergency care provided to individuals who meet other eligibility requirements but do not have an eligible immigration status. Without it, costs would shift to hospitals or states.

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2. Immigrants under age 65 are less likely to be covered by Medicaid than their U.S.-born citizen counterparts.

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Samantha Artiga @sartiga.bsky.social · 13/02/2025

1. Undocumented immigrants are not eligible for Medicaid or CHIP, and only some lawfully present immigrants qualify subject to eligibility restrictions.

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Updated @kff.org analysis of health coverage by race and ethnicity from 2010-2023. Despite coverage gains over time, racial disparities persisted in 2023. Disparities could widen due to potential Medicaid cuts, expiration of ACA subsidies, and immigration policy changes. www.kff.org/racial-equit...

Health Coverage by Race and Ethnicity, 2010-2023 | KFF

There were gains in coverage across most racial and ethnic groups between 2019 and 2023 after several years of rising uninsured rates during the first Trump administration. The coverage gains between ...

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Samantha Artiga @sartiga.bsky.social · 06/02/2025

Mass deportations could also negatively impact the U.S. economy and workforce given the role immigrants play, particularly in certain industries, including health care.

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Samantha Artiga @sartiga.bsky.social · 06/02/2025

Increased fears under the first Trump Administration also led some families to avoid enrolling lawfully present immigrants and citizen children in health coverage and to seek care. Despite efforts by the Biden administration to reduce these fears, @KFF survey data show they persisted as of 2023.

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Samantha Artiga @sartiga.bsky.social · 06/02/2025

During the first Trump administration, immigrant families across statuses experienced increased fears that negatively impacted health, employment, and daily life. Pediatricians cited concerns about long-term consequences of toxic stress for children stemming from fear. www.kff.org/racial-equit...

Living in an Immigrant Family in America: How Fear and Toxic Stress are Affecting Daily Life, Well-Being, & Health | KFF

This brief examines the experiences of immigrant parents and children, including immigrants who are undocumented and those lawfully present, with the new restrictions on immigration and increased immi...

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Samantha Artiga @sartiga.bsky.social · 31/01/2025

In yesterday's exchange with Sen. Alsobrooks, Robert F. Kennedy, Jr. suggested that Black people have different immunity than White people. As I write in a new @kff.org QuickTake, the idea of biological differences by race is disproven and has harmful consequences. www.kff.org/quick-take/r...

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Reposted by Samantha Artiga

KFF @kff.org · 31/01/2025

⚡ Following an exchange between Sen. Angela Alsobrooks and Robert F. Kennedy Jr. during yesterday’s hearing, KFF’s @sartiga.bsky.social writes about the key differences between classifications based on genetic ancestry and race. #QuickTake on.kff.org/4aHHANr

KFF graphic featuring a quote from Samantha Artiga, KFF vice president and director of the Racial Equity and Health Policy Program. It says, “Race is a social category with no basis in biology, and many in the medical community have been seeking to eradicate the idea of biological differences by race due to the harmful consequences that can derive from this belief.”

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Samantha Artiga @sartiga.bsky.social · 30/01/2025

My conversation with Alice Park @time-magazine.bsky.social “The idea of biological differences by race has been disproven"... "Historically, it’s been used for an array of abuses and mistreatment of people of color.” time.com/7210699/rfk-...

time.com

RFK Jr. Says He Doesn't Know if COVID-19 Vaccines Work

RFK Jr. has expressed fringe beliefs about the COVID-19 pandemic, which worries health experts.

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Samantha Artiga @sartiga.bsky.social · 24/01/2025

As President Trump’s immigration policies unfold, effects will ripple across the millions of people living in immigrant families, including U.S.-born citizen children. Prior KFF research from the first Trump administration provides a window into the health-related impacts www.kff.org/quick-take/p...

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Reposted by Samantha Artiga

KFF @kff.org · 24/01/2025

⚡ KFF’s @sartiga.bsky.social writes about the likely health-related impacts of President Trump’s recent immigration policy changes. #QuickTake on.kff.org/4hrREfN

KFF graphic featuring a quote from Samantha Artiga, KFF vice president and director of the Racial Equity and Health Policy Program. It says, “During the first Trump administration, restrictive immigration policies and increased enforcement activity led to increased fears among immigrant families across immigration statuses that had negative effects on health and well-being, employment, and daily life.”

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Such policies would also likely have ramifications for the economy and workforce, given the major role immigrants and their adult children play, particularly in certain industries, including health care. www.kff.org/racial-equit...

The Role of Adult Children of Immigrants in the U.S. Health Care Workforce | KFF

This brief examines key characteristics of adult children of immigrants and highlights their role in the workforce, including the health care workforce.

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Mass detention and deportation efforts, ending birthright citizenship, and/or reinstating changes to public charge policy would likely increase fears among immigrant families and negatively impact the health of children in immigrant families. www.kff.org/racial-equit...

Expected Immigration Policies Under a Second Trump Administration and Their Health and Economic Implications | KFF

This issue brief discusses key changes to immigration policies that may take place under the second Trump administration based on his previous record and campaign statements, and their implications.

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During the first Trump administration, uninsured rates among children in immigrant families increased, and immigrant families experienced negative impacts on health due to changes in public charge policy and enhanced enforcement actions. www.kff.org/racial-equit...

Living in an Immigrant Family in America: How Fear and Toxic Stress are Affecting Daily Life, Well-Being, & Health | KFF

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1 in 4 children in the U.S. has at least one immigrant parent. Policies that may be implemented under the Trump administration could have significant implications for these children, the vast majority of whom are citizens: www.kff.org/racial-equit...