Geiger Gibson/RCHN Community Health Foundation Research Collaborative issuing body.
Geiger Gibson Program in Community Health Policy, issuing body.
George Washington University, issuing body.
Milken Institute School of Public Health, issuing body.
[Washington, D.C.] : Milken Institute School of Public Health, George Washington University, November 2018
By law and mission, community health centers provide care for all community residents. Because Medicaid is the largest source of health center funding, public policy changes that could reduce Medicaid enrollment can be expected to have significant repercussions for health centers, limiting their capacity to care for their community residents. The proposed "public charge" rule released by the Department of Homeland Security is expected to have a significant chilling effect on Medicaid enrollment among eligible legal immigrants as well as their family members. As health centers begin to feel the impact of this chilling effect on patients, we estimate that nationally, Medicaid revenue will decline by $346 million to $624 million. A revenue decline of this magnitude will cause the number of patients served to fall by 295,000 to 538,000. Every state can be expected to sustain losses, with the state-specific impact reflecting the size of the immigrant population and current breadth of Medicaid coverage.
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