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Our mission is to defend & advance the rights & opportunities of low-income immigrants and their family members.

Citizenship Documentation Requirement


Medicaid Program: Citizenship Documentation Requirements (PDF)

Issued by Centers for Medicare & Medicaid Services, U.S. Dept. of Health and Human Services, 72 FR 38662-97 (July 13, 2007).

Reports on citizenship documentation requirements’ impact

Statutory changes suggested by the American Public Human Services Association (APHSA) and the National Association of State Medical Directors (NASMD)

“ provide states with the flexibility that they need to ensure that Medicaid services are provided to eligible individuals through cost-efficient methods”: “Medicaid Citizenship Documentation” (PDF) (4/07)

“All Low-Income Newborns to Receive Equal Access to Medicaid” (3/20/07, PDF)

Access to Medicaid for Newborns of Immigrant Mothers (posted 12/6/06)

  • California-specific version of above issue brief ("Access to Medicaid for Newborns of Immigrant Mothers") (PDF)

NILC comments on CMS interim final rule re: “Medicaid Program: Citizenship Documentation Requirements” (8/11/06, PDF)

CMS Attacks Rights of U.S. Citizen Newborns (PDF), issue brief and alert prepared by Maternal and Child Health Access and NILC

From the brief:  “[I]n the Preamble [to the interim regulations], CMS attempts to deny automatic eligibility [for Medicaid] to U.S. citizen newborns whose mothers were receiving Medicaid only for emergency labor and delivery services. . . .”

Class action lawsuit filed on 6/28/06

It challenging the validity of the new federal law, passed as part of the 2005 Deficit Reduction Act, that requires about 50 million Medicaid recipients to prove they are U.S. citizens by presenting passports, birth certificates, or other special documents — or lose their coverage.  (Sargent Shriver National Center on Poverty Law, 6/28/06)

New Federal Medicaid Document Requirement for U.S. Citizens Does Not Change the Rules for Noncitizens  (6/22/06, PDF)

FACT SHEETS published by the Health Consumer Alliance (California-specific information)

FACT SHEETS authored by the National Council of La Raza (NCLR)

POLICY UPDATE authored by the New York Immigration Coalition (NYIC)