― When it comes to healthcare
reform, coverage of undocumented
immigrants is a political third-rail.
But under a new Senate bill, legal
immigrants could find themselves with
fewer options as well.
Before gaining the votes Saturday night
to bring the health care debate to the
Senate floor, Democrats made significant
changes to a House bill, including
provisions to limit the availability of
new medical plans for both legal and
illegal immigrants.
The revisions could help win the votes
of independent Senator Joe Lieberman
(CT) and fence-sitting Democrats like
Ben Nelson (NE), Blanche Lincoln (AK)
and Mary Landrieu (LA), who together
essentially have veto power over the
bill.
Yet Hispanic lawmakers say provisions in
a Senate health care bill to restrict
immigrants’ medical coverage options are
a lose-lose policy for citizens and
immigrants alike.
The Senate measures, which Rep. Luis
Gutierrez (D-IL) calls “dehumanizing,”
will also come at a cost to U.S.
taxpayers and insurance policyholders,
caution members of the Hispanic
Congressional Caucus.
The House bill spelled out that
undocumented immigrants would be
ineligible for federal medical care
subsidies.
Still, all consumers could have
purchased coverage in exchanges with
their own funds.
The Senate bill bars
illegal immigrants from the insurance
pools entirely.
Ever since
Sen. Joe Wilson's (R-SC) now-infamous
“You lie!” outburst during President
Barack Obama’s September 10 healthcare
address,
Democrats have worked to
assure the public their plan will not
funnel tax dollars to illegal
immigrants. Excluding the undocumented
from the new healthcare infrastructure
may lessen the likelihood of the
reform’s derailment.
But the Senate bill goes a step further:
The new measures impose a five-year
waiting period before legal non-citizens
can access federal subsidies. The House
bill made these funds available to some
low-income legal residents.
An October
2009 report by the Migration Policy
Institute found that, of the roughly 12
million legal permanent residents in the
United States, more than a quarter of
them are uninsured.
Over a million of those legal immigrants
would find themselves left out of
Medicaid coverage or insurance subsidies
if the five-year period remains on the
books.
Hispanic Congressional Caucus members
say these provisions may save coverage
dollars, but taxpayers and insurance
policyholders will face extra emergency
care costs.
A 2008 study from the Kaiser Family
Foundation found taxpayers fork the bill
for 75 percent of total uncompensated
care, which equates to $43 billion
annually.
Research by Families USA puts
the total amount of uncompensated care
costs at $73 billion a year.
Their
report finds government and charity pays
$30 billion of this amount, while the
remaining $43 billion is passed on to
insurance policyholders.