On April 9, 2021, the Biden administration proposed a rule to expand health insurance access for individuals protected under the Deferred Action for Childhood Arrivals (DACA) program. This proposal aims to improve the health and well-being of DACA participants who have long been facing difficulties accessing affordable health care.

What is the DACA Initiative?
DACA is a program that was introduced in 2012 by President Barack Obama to protect eligible undocumented immigrants who came to the United States as children from deportation. DACA provides temporary protection from deportation, work authorization, and the ability to obtain a Social Security number. However, DACA recipients, also known as Dreamers, do not have access to many of the benefits that U.S. citizens and permanent residents enjoy, such as health insurance.
The current healthcare system in the United States has a significant impact on Dreamers’ ability to access affordable healthcare. Since DACA recipients are not eligible for Medicaid or Medicare. They often rely on employer-sponsored health insurance, which may not be available to them if they are undocumented. Additionally, they cannot purchase insurance through the Affordable Care Act (ACA) marketplace, which prohibits undocumented immigrants from accessing coverage.
ACA Health Insurance for DACA Recipients
The Biden administration’s proposal seeks to address this problem by allowing DACA recipients to purchase health insurance through the ACA marketplace. This proposed rule would make it easier for Dreamers to access affordable healthcare, thereby improving their health and well-being.

Health insurance is essential for maintaining good health, preventing chronic diseases, and addressing acute medical conditions. Without health insurance, many individuals are forced to forego necessary medical care or incur significant financial burdens. This can result in poorer health outcomes and higher healthcare costs over time.
The lack of access to health insurance is a significant problem for DACA participants. According to a report,37% of DACA recipients are uninsured, compared to 8% of the general U.S. population. This lack of coverage can lead to delays in seeking medical care, resulting in more serious health problems and higher healthcare costs down the line.
Expanding access to health insurance for DACA participants would help address these issues. By allowing Dreamers to purchase insurance through the ACA marketplace, they would have access to comprehensive coverage at an affordable cost. This would enable them to seek necessary medical care and prevent more serious health problems from developing.
Inexpensive Healthcare Lowers long-term Healthcare costs
In addition to improving health outcomes for DACA participants, expanding health insurance access would also benefit the U.S. healthcare system as a whole. When individuals have access to affordable healthcare, they are more likely to seek preventive care and address health problems early. It can reduce healthcare costs in the long run. By improving the health and well-being of Dreamers, we can also reduce the burden on emergency rooms and hospitals, which are often the only option for uninsured individuals seeking medical care.

The Biden administration’s proposal to expand health insurance access for DACA participants is a step in the right direction. It is an acknowledgment that access to affordable healthcare is a fundamental right that should be available to all individuals, regardless of their immigration status. By allowing Dreamers to purchase insurance through the ACA marketplace, we can improve their health and well-being and create a more equitable healthcare system for all.
However, this proposal is just one piece of the puzzle. To truly address the healthcare needs, we need broader reforms that ensure all individuals have access to affordable, comprehensive coverage. This includes expanding Medicaid eligibility to all individuals, regardless of their immigration status. It also allows undocumented immigrants to purchase insurance through the ACA marketplace.
Health Insurance for Unauthorized Immigrants
We also need to address the underlying factors that contribute to health disparities among undocumented immigrants, such as poverty, discrimination, and lack of access to healthy food and safe living environments. Addressing these factors will require an approach that involves not only the healthcare system but also social and economic policies.

Undocumented immigrants face significant barriers to accessing healthcare, including lack of insurance, fear of deportation, and language barriers. As a result, these barriers can lead to delayed diagnosis and treatment of medical conditions, poorer health outcomes, and higher healthcare costs.
Medicaid Eligibility for All Persons
One solution to this problem is to expand Medicaid eligibility to all individuals, regardless of their immigration status. Medicaid is a federal-state program that provides health coverage to low-income individuals and families. However, under current law, undocumented immigrants are not eligible for Medicaid, even if they meet the income and other eligibility criteria.
Expanding Medicaid eligibility to all individuals would help ensure that all individuals have access to affordable healthcare. It would also help reduce healthcare costs by providing preventative care to individuals.

Another solution is to allow undocumented immigrants to purchase insurance through the ACA marketplace. Currently, undocumented immigrants are not eligible to purchase insurance through the marketplace, which limits their access to affordable healthcare. Allowing them to purchase insurance through the marketplace would give them access to comprehensive coverage at an affordable cost.
In addition to expanding healthcare access, it is also important to address the underlying factors that contribute to health disparities. This includes addressing social and economic policies that contribute to poverty, discrimination, and lack of access.
Conclusion
In conclusion, the Biden administration’s proposal to expand health insurance access for DACA participants is an important step towards improving healthcare access for undocumented immigrants. However, it is only one part of a larger effort needed to address the healthcare needs of this population. To truly address the healthcare needs of undocumented immigrants, we need to expand Medicaid eligibility to all of India. It addresses the underlying factors that contribute to health disparities among this population. By taking these steps, we can create a more equitable healthcare system that promotes health and well-being for all individuals.
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