{"id":322,"date":"2026-10-19T19:47:15","date_gmt":"2026-10-19T23:47:15","guid":{"rendered":"https:\/\/www.thelatinamericans.com\/?p=322"},"modified":"2026-10-19T19:12:56","modified_gmt":"2026-10-19T23:12:56","slug":"medicaid-inmigrantes-cambios-1-octubre-2026","status":"publish","type":"post","link":"https:\/\/www.thelatinamericans.com\/en\/medicaid-refugees-and-asylees-without-green-cards-lose-eligibility-starting-october-1\/","title":{"rendered":"Medicaid: Refugees and asylees without green cards lose eligibility starting October 1"},"content":{"rendered":"<p>As of October 1, 2026, refugees and asylees without green cards are no longer eligible for Medicaid and the Children&#039;s Health Insurance Program (CHIP) in the United States. This change stems from a 2025 federal law and also applies to other immigrants with legal status who do not belong to the groups covered by the law, according to a KFF analysis published on September 22, 2026.<\/p>\n<figure class=\"tla-infografia\" data-tla=\"visual\"><img decoding=\"async\" src=\"https:\/\/www.thelatinamericans.com\/wp-content\/uploads\/2026\/10\/ilustracion-322-hCsUdB-1024x780.png\" alt=\"Infograf\u00eda: Medicaid desde el 1 de octubre de 2026\" width=\"1024\" height=\"780\" loading=\"lazy\" class=\"wp-image-324\" srcset=\"https:\/\/www.thelatinamericans.com\/wp-content\/uploads\/2026\/10\/ilustracion-322-hCsUdB-1024x780.png 1024w, https:\/\/www.thelatinamericans.com\/wp-content\/uploads\/2026\/10\/ilustracion-322-hCsUdB-300x229.png 300w, https:\/\/www.thelatinamericans.com\/wp-content\/uploads\/2026\/10\/ilustracion-322-hCsUdB-768x585.png 768w, https:\/\/www.thelatinamericans.com\/wp-content\/uploads\/2026\/10\/ilustracion-322-hCsUdB-16x12.png 16w, https:\/\/www.thelatinamericans.com\/wp-content\/uploads\/2026\/10\/ilustracion-322-hCsUdB.png 1200w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n<h2>Who retains coverage<\/h2>\n<p>According to <a href=\"https:\/\/www.kff.org\/immigrant-health\/implementation-of-medicaid-immigrant-eligibility-restrictions-under-the-2025-reconciliation-law-issues-to-consider\/\">KFF<\/a>, Four groups remain eligible:<\/p>\n<ul>\n<li>legal permanent residents, that is, those who have a green card;<\/li>\n<li>Cuban and Haitian starters;<\/li>\n<li>people who reside in the U.S. under the Compacts of Free Association (COFA);<\/li>\n<li>Children and pregnant women with legal residence, in states that cover them through the ICHIA option.<\/li>\n<\/ul>\n<p>Immigrants with legal status who fall outside these groups, including refugees and asylum seekers without green cards, lose eligibility. Undocumented immigrants were already ineligible before this change.<\/p>\n<h2>What doesn&#039;t change<\/h2>\n<p>The 2025 law does not change the rule known as PRWORA. Therefore, permanent residents generally remain subject to a five-year waiting period to access Medicaid, with some exceptions. Cuban and Haitian immigrants and migrants from the Compacts are exempt from this waiting period.<\/p>\n<p>The CHIPRA 214 option, or ICHIA, also remains in effect. It allows states to cover children and pregnant women with legal residency without requiring the five-year residency requirement. Coverage varies by state.<\/p>\n<h2>Emergency Medicaid and Costs<\/h2>\n<p>Starting October 1, 2026, federal payment for emergency Medicaid services for adults who would be eligible except for their immigration status will drop to the regular rate, according to KFF. The analysis also cites that an additional 100,000 people will become uninsured by 2034 and that the Congressional Budget Office (CBO) estimates that Medicaid or CHIP eligibility restrictions reduce federal spending by $6.2 billion.<\/p>\n<h2>How states apply it<\/h2>\n<p>The Centers for Medicare &amp; Medicaid Services (CMS) issued guidance SHO #26-001 and an implementation tool for states. According to KFF, states were required to redetermine the eligibility of potentially affected enrollees by October 1, 2026, and submit updated amendments to their state plans by December 31, 2026.<\/p>\n<p>The limitations on ACA Insurance Marketplace subsidies, meanwhile, begin on January 1, 2027.<\/p>\n<p>Media outlets and organizations have reported figures for those affected by state, as well as alternative state programs. This data has not been confirmed by official sources and is not included here.<\/p>\n<figure class=\"tla-inline\" data-tla=\"visual\"><img decoding=\"async\" src=\"https:\/\/www.thelatinamericans.com\/wp-content\/uploads\/2026\/10\/ilustracion-322-LgdZL0-1024x576.jpg\" alt=\"Imagen ilustrativa: Medicaid: refugiados y asilados sin green card pierden elegibilidad desde el 1 de octubre\" width=\"1024\" height=\"576\" loading=\"lazy\" class=\"wp-image-325\" srcset=\"https:\/\/www.thelatinamericans.com\/wp-content\/uploads\/2026\/10\/ilustracion-322-LgdZL0-1024x576.jpg 1024w, https:\/\/www.thelatinamericans.com\/wp-content\/uploads\/2026\/10\/ilustracion-322-LgdZL0-300x169.jpg 300w, https:\/\/www.thelatinamericans.com\/wp-content\/uploads\/2026\/10\/ilustracion-322-LgdZL0-768x432.jpg 768w, https:\/\/www.thelatinamericans.com\/wp-content\/uploads\/2026\/10\/ilustracion-322-LgdZL0-1536x864.jpg 1536w, https:\/\/www.thelatinamericans.com\/wp-content\/uploads\/2026\/10\/ilustracion-322-LgdZL0-18x10.jpg 18w, https:\/\/www.thelatinamericans.com\/wp-content\/uploads\/2026\/10\/ilustracion-322-LgdZL0.jpg 1600w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n<h2>What does it mean to you?<\/h2>\n<ul>\n<li>If you are a refugee or asylee and do not have a green card, your eligibility for Medicaid or CHIP ended on October 1, 2026, according to federal rule.<\/li>\n<li>If you have a green card, you are still eligible, but the other Medicaid requirements apply, and generally, the five-year waiting period with its exceptions.<\/li>\n<li>If you are a Cuban or Haitian entrant, or a migrant from the Compacts, you are exempt from that wait.<\/li>\n<li>If you have children or are pregnant, ask your state Medicaid office if it covers legally resident children and pregnant women through the ICHIA option.<\/li>\n<li>If you receive a notification about your status, read it completely and respond within the indicated timeframe.<\/li>\n<\/ul>\n<h2>What can you do?<\/h2>\n<ul>\n<li>Check with your state&#039;s Medicaid agency to see if your case has been reviewed and what alternatives are available.<\/li>\n<li>Keep your immigration documents handy when speaking with the agency.<\/li>\n<\/ul>\n<p class=\"tla-aviso-legal\"><em><strong>Legal notice:<\/strong> This information is general and does not replace guidance from the official agency or a licensed professional regarding your specific case.<\/em><\/p>","protected":false},"excerpt":{"rendered":"<p>The 2025 law limits Medicaid and CHIP coverage to permanent residents, Cuban and Haitian immigrants, and migrants from the Compacts. States were required to review affected cases.<\/p>","protected":false},"author":1,"featured_media":323,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_oxygen_hide_in_design_set":false,"_oxygen_tags":"","_cabeceras_dek":"La ley de 2025 limita Medicaid y CHIP a residentes permanentes, entrantes cubanos y haitianos y migrantes de los Compactos. Los estados deb\u00edan revisar los casos afectados.","_cabeceras_official_sources":[{"name":"KFF","url":"https:\/\/www.kff.org\/immigrant-health\/implementation-of-medicaid-immigrant-eligibility-restrictions-under-the-2025-reconciliation-law-issues-to-consider\/"}],"_cabeceras_claims":[{"claim":"Desde el 1 de octubre de 2026, los refugiados y asilados sin green card dejaron de ser elegibles para Medicaid y CHIP.","support":["F1"],"unknown":[],"status":"ok"},{"claim":"El an\u00e1lisis de KFF se public\u00f3 el 22 de septiembre de 2026.","support":["F4"],"unknown":[],"status":"ok"},{"claim":"Siguen elegibles los residentes permanentes legales, los entrantes cubanos y haitianos, las personas bajo los Compactos de Libre Asociaci\u00f3n (COFA) y los ni\u00f1os y embarazadas con residencia legal en estados con la opci\u00f3n ICHIA.","support":["F1"],"unknown":[],"status":"ok"},{"claim":"Pierden la elegibilidad los inmigrantes con presencia legal fuera de esos grupos, incluidos refugiados y asilados sin green card.","support":["F1"],"unknown":[],"status":"ok"},{"claim":"Los inmigrantes indocumentados ya no eran elegibles antes del cambio.","support":["F1"],"unknown":[],"status":"ok"},{"claim":"La ley de 2025 no cambia la norma PRWORA; los residentes permanentes generalmente siguen sujetos a una espera de cinco a\u00f1os, con algunas excepciones.","support":["F2"],"unknown":[],"status":"ok"},{"claim":"Los entrantes cubanos y haitianos y los migrantes COFA est\u00e1n exentos de la espera de cinco a\u00f1os.","support":["F2"],"unknown":[],"status":"ok"},{"claim":"La opci\u00f3n CHIPRA 214 (ICHIA) permite cubrir a ni\u00f1os y embarazadas con residencia legal sin la espera de cinco a\u00f1os, contin\u00faa y var\u00eda por estado.","support":["F2"],"unknown":[],"status":"ok"},{"claim":"Desde el 1 de octubre de 2026, el pago federal de Medicaid de emergencia para adultos de expansi\u00f3n elegibles salvo por su estatus migratorio baja a la tasa regular.","support":["F2"],"unknown":[],"status":"ok"},{"claim":"100,000 personas adicionales quedar\u00edan sin seguro para 2034.","support":["F4"],"unknown":[],"status":"ok"},{"claim":"La CBO estima que las restricciones de elegibilidad en Medicaid o CHIP reducen el gasto federal en $6.2 mil millones.","support":["F4"],"unknown":[],"status":"ok"},{"claim":"CMS emiti\u00f3 la gu\u00eda SHO #26-001 y una herramienta de implementaci\u00f3n para los estados.","support":["F3"],"unknown":[],"status":"ok"},{"claim":"Los estados deb\u00edan redeterminar la elegibilidad de los inscritos potencialmente afectados antes del 1 de octubre de 2026.","support":["F3"],"unknown":[],"status":"ok"},{"claim":"Los estados deben presentar enmiendas actualizadas a sus planes estatales antes del 31 de diciembre de 2026.","support":["F3"],"unknown":[],"status":"ok"},{"claim":"Las limitaciones para subsidios del Mercado de Seguros de la ACA comienzan el 1 de enero de 2027.","support":["F4"],"unknown":[],"status":"ok"}],"tla_reel_url":"","_tla_reel_video":0,"_tla_reel_video_fb":0,"_tla_reel_portada":0,"_tla_reel_programado":0,"_tla_reel_copy":"","footnotes":""},"categories":[54],"tags":[145,144,70,143,105,146],"class_list":["post-322","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medicaid-obamacare","tag-asilados","tag-chip","tag-green-card","tag-medicaid","tag-refugiados","tag-salud"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Medicaid for immigrants: who retains coverage<\/title>\n<meta name=\"description\" content=\"Starting October 1, 2026, refugees and asylees without green cards will lose Medicaid and CHIP benefits. 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