The health coverage of noncitizens in the United States, 2024
- Collection:
- Health Policy and Services Research
- Author(s):
- Buettgens, Matthew, author Ramchandani, Urmi, author
- Contributor(s):
- Robert Wood Johnson Foundation, issuing body. Urban Institute, issuing body.
- Publication:
- Washington, DC : Urban Institute, May 2023
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Emigrants and Immigrants -- statistics & numerical data Health Equity -- economics Health Policy Insurance, Health -- economics Medicaid -- economics Medically Uninsured -- statistics & numerical data United States Children's Health Insurance Program (U.S.)
- Genre(s):
- Technical Report
- Abstract:
- Many noncitizens in the US get insurance coverage through their jobs, as do many nonelderly citizens. Yet, noncitizens are more likely to be uninsured than the US nonelderly population as a whole. Noncitizens under age 65 constitute about 8 percent of the total US population. However, they make up almost 32 percent of the total uninsured population in the country. We estimate a total US uninsured population of about 27 million in 2024, of which 8.6 million are noncitizens. Information on the sources of health insurance coverage of noncitizens and further details on the characteristics of uninsured noncitizens is critical if policies are to be designed to achieve near-universal coverage in the US. This brief analyzes health care coverage and eligibility of nonelderly noncitizens (lawfully present and undocumented immigrants) compared with the entire nonelderly population of the US. Our estimates are for 2024 when the Medicaid continuous coverage requirement enacted under the COVID-19 public health emergency has ended, but enhanced premium tax credits (PTCs) available in the Marketplace are still in place. During the years 2020 through 2023, noncitizens may have constituted an even higher share of uninsured people than usual because temporary pandemic-related provisions, including Medicaid’s continuous coverage requirement and enhanced Marketplace PTCs bolstered coverage among citizens. We analyze uninsurance rates and the share of public and private health coverage of noncitizens compared with the entire US population. We further examine uninsured noncitizens by demographics such as race and ethnicity, age group, language, sex, education level, and employment status. We also look at the eligibility of uninsured noncitizens for Marketplace premium tax credits (PTCs), Medicaid, and the Children’s Health Insurance Program (CHIP) in Medicaid expansion and nonexpansion states.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY-NC-DC license. (More information)
- Extent:
- 1 online resource (1 PDF file (17 pages))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 9918627780106676 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/9918627780106676