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  1. #1
    Join Date
    Feb 2005

    Medicaid Hurdle for Immigrants May Hurt Others

    Now hold on a minute. Why is this a bad thing? Is not Medicaid and Welfare supposed to be for just U.S. citizens? Of course it is. It's one thing to send humanitarian aide to countries like Africa but it's quite another to swell our welfare rolls with people who are not even citizens. I don't think Welfare was ever set up to cover anyone other than American citizens.

    And as far as producing the documents, it's not that hard to get one's birth certificate and if these officials are concerned with that, set up a department that will help those in question get the birth certificates and cover the expense. It's much less expensive than covering medical costs of those unfairly using Medicaid who shouldn't be.

    Medicaid Hurdle for Immigrants May Hurt Others

    Published: April 16, 2006

    WASHINGTON, April 15 — More than 50 million Medicaid recipients will soon have to produce birth certificates, passports or other documents to prove that they are United States citizens, and everyone who applies for coverage after June 30 will have to show similar documents under a new federal law.

    The requirement is meant to stop the "theft of Medicaid benefits by illegal aliens," in the words of Representative Charlie Norwood, Republican of Georgia, a principal author of the provision, which was signed into law by President Bush on Feb. 8.

    In enforcing the new requirement, federal and state officials must take account of passions stirred by weeks of national debate over immigration policy. State officials worry that many blacks, American Indians and other poor people will be unable to come up with the documents needed to prove citizenship. In addition, hospital executives said they were concerned that the law could increase their costs, by reducing the number of patients with insurance.

    The new requirement takes effect on July 1. The Congressional Budget Office estimates that it will save the federal government $220 million over five years and $735 million over 10 years.

    Estimates of the number of people who will be affected vary widely. The budget office expects that 35,000 people will lose coverage by 2015. Most of them will be illegal immigrants, it said, but some will be citizens unable to produce the necessary documents. Some Medicaid experts put the numbers much higher, saying that millions of citizens could find their health benefits in jeopardy.

    State officials are trying to figure out how to comply. Many said the requirement would result in denying benefits to some poor people who were entitled to Medicaid but could not find the necessary documents.

    "This provision is misguided and will serve as a barrier to health care for otherwise eligible United States citizens," said Gov. Chris Gregoire of Washington, a Democrat.

    Ms. Gregoire said the provision would cause hardship for many older African-Americans who never received birth certificates and for homeless people who did not have ready access to family records.

    Hospitals and nursing homes are expressing concern. "The new requirement will result in fewer people being eligible for Medicaid or enrolling in the program, and that means more uninsured people," said Lynne P. ***nani, senior vice president of the National Association of Public Hospitals and Health Systems. "They still need care, but are more likely to wait until their condition becomes more severe and more costly to treat."

    The new requirement will come as a surprise to most Medicaid recipients. The law said federal officials should inform them "as soon as practicable" after Feb. 8. But the education campaign, to be conducted in concert with states, has yet to begin.

    Under the law, the Deficit Reduction Act, states cannot receive federal Medicaid money unless they verify citizenship by checking documents like passports and birth certificates for people who receive or apply for Medicaid.

    In a draft letter providing guidance to state officials, the Bush administration says, "An applicant or recipient who does not cooperate with the requirement to present documentary evidence of citizenship may be denied eligibility or terminated" from Medicaid.

    The Center on Budget and Policy Priorities, a liberal research and advocacy group, estimates that three million to five million low-income citizens on Medicaid could find their coverage at risk because they do not have birth certificates or passports.

    Representative John Lewis, Democrat of Georgia, said: "Many older Americans do not have birth certificates because their parents did not have access to hospitals, and so they were born at home. In the last century, all over the South, because of segregation and racial discrimination, many hospitals would not take minorities."

    In Georgia, Medicaid officials began enforcing a similar requirement in January. Dr. Rhonda M. Medows, commissioner of the state's Department of Community Health, said it had not caused serious problems.

    In Arizona, the governor's health policy adviser, Anne M. Winter, said the federal requirement would "reduce or delay enrollment for eligible individuals, mostly U.S. citizens." In many cases, Ms. Winter said, "Native Americans — the first Americans — do not have the documents" required to show citizenship. In addition, she said, older Medicaid recipients with Alzheimer's disease or other mental impairments may not understand the requirement and may be unable to retrieve the documents they need.

    In New Jersey, Ann Clemency Kohler, the Medicaid director, said: "There are lots of reasons why people born here may not have copies of their birth certificates. And many people in their 80's and 90's just don't have a driver's license or a passport because they're not driving or traveling overseas."

    In general, Medicaid is available only to United States citizens and certain "qualified aliens." Legal immigrants are, in many cases, barred from Medicaid for five years after they enter the United States. Under a 1986 law, applicants for Medicaid have to declare in writing, under penalty of perjury, whether they are citizens and, if not, whether they are "in a satisfactory immigration status."

    State Medicaid officials were already required to check the immigration status of people who said they were noncitizens. But until this year, when applicants claimed United States citizenship, states had discretion: they could choose whether to require documentation.

    More than 40 states accepted the applicants' written statements as proof of citizenship unless the claims seemed questionable to state eligibility workers.

    In a study last year, Daniel R. Levinson, inspector general of the Department of Health and Human Services, said that federal Medicaid officials had "encouraged self-declaration in an effort to simplify and accelerate the Medicaid application process." Mr. Levinson recommended additional safeguards, including spot checks of Medicaid recipients to verify citizenship claims.

    Dr. Mark B. McClellan, administrator of the Centers for Medicare and Medicaid Services, agreed, but said he was unaware of any fraud. "The report does not find particular problems regarding false allegations of citizenship, nor are we aware of any," Dr. McClellan said at the time.

    In an interview on Saturday, Dr. McClellan said, "We are working with states to develop a policy to accommodate the needs of special groups of Americans who may not have traditional government-issued birth certificates." Federal officials said that after consulting such groups, they might find other documents that could prove citizenship.

    Jennifer M. Ng'andu of the National Council of La Raza, a Hispanic group, said, "A likely consequence of the new requirement is that a number of people will be cut off Medicaid even though they are eligible."

    The law specifies documents that can be used to establish citizenship. A United States passport by itself is enough. Or a person can use "a certificate of birth in the United States," together with a document that confirms identity, like a driver's license with a photograph.

    The new requirement is causing alarm in Indian country. Representative Rick Renzi, an Arizona Republican whose district includes more than 145,000 Navajos and Apaches, is urging the Bush administration to let people qualify for Medicaid by showing "certificates of Indian blood" and other forms of tribal identification.

    Kathleen Collins Pagels, executive director of the Arizona Health Care Association, said "some nursing home residents could lose Medicaid coverage" because they could not produce the documents required to prove citizenship.


  2. #2
    Join Date
    Nov 2005

    Re: Medicaid Hurdle for Immigrants May Hurt Others

    Agree on that. Report recently out now that sez illegals do take jobs away. Remember that a FBO in NC was raided last year by INS. They found illegals employed rebuilding jet engines.

    http://www.cis.org/articles/2006/back206.html is the report.

  3. #3
    Join Date
    Feb 2005

    Re: Medicaid Hurdle for Immigrants May Hurt Others

    Quote Originally Posted by Rusted
    Agree on that. Report recently out now that sez illegals do take jobs away. Remember that a FBO in NC was raided last year by INS. They found illegals employed rebuilding jet engines.

    http://www.cis.org/articles/2006/back206.html is the report.
    It's not the illegals that take the jobs, it's the willingness to work for much less pay and no benefits that American's insist upon and the willingness of business to pay someone much less to work these jobs that take the jobs away. Illegal immigrants don't just wake up one morning and decide to go to America and take some person's job from them. :D

    Lady Mod

  4. #4
    Join Date
    Jun 2005

    Re: Medicaid Hurdle for Immigrants May Hurt Others

    Medicaid theft definitely needs to be rectified. But the problem I see with this particular approach is that the government is "trying to do too much - too quickly". It's going to be another BIG MESS!

    I think we would better served if they broke this process down into age groups. Start smaller - say with all who were born in the last 30 years or so, and work backwards from there in 10 year increments.

    From what I know personally about immigrants with regards to the abuse of the Medicaid system, the 30 somethings and younger is where the governnment will find the majority of the fraud.. The many that I know of, some personally, others through friends - came here, some on student visas, let their visa expire and then never left. Most came across the border out of Mexico. Some now have kids that were born here, so the children are U.S. citizens and are legally entitled to Medicaid. The parent is still illegal, but receives benefits as well. They were actually on Medicaid when the baby was born!

    Oh, and get this: They live in public housing with someone, in most cases a friend, who IS an American citizen and that person is allowed to claim the legal children, not only for housing and welfare, but also as dependants on their federal tax return because the kids lived there at least 6 months out of the year. This all equals out to thousands of dollars in earned income credit refunds that are then shared with the illegal parent...

    They have figured out how to work the system.... at OUR expense. :rolleyes:

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