...This fear is heightened by policy barriers, like the exclusion from the Affordable Care Act, which significantly limits their access to preventative and emergency healthcare services. Derose et al. (2007) discuss this legal provision here: “The immigrant provisions of the 1996 welfare reform act, the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA), have made most legal immigrants ineligible for publicly funded services such as Medicaid for the first five years of residence (undocumented immigrants were already ineligible), although states can preserve eligibility by fully funding these services themselves.” (Derose et al., 2007). Derose also discusses how PWORA actually makes it even more difficult for immigrants to access proper healthcare by extending the amount of time it takes to be considered PRWORA also extends the period of time that sponsors’ income can be deemed available to immigrants and therefore counted as income for means-tested programs such as Medicaid. Finally, the law requires that state or local governments providing benefits to undocumented immigrants must pass a law to affirmatively establish their eligibility. Derose et al.,...
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