Public Comment

Public Comment on the Centers for Medicare & Medicaid Services’ Integrity Rule

We are deeply concerned about many provisions in the Centers for Medicare and Medicaid Services’ (CMS) proposal to erect barriers to coverage under the Affordable Care Act (ACA).

Published Apr 15, 2025

Dear Administrator Oz,

The National Immigration Law Center (NILC) is deeply concerned about many provisions in the Centers for Medicare and Medicaid Services’ (CMS) proposal to erect barriers to coverage under the Affordable Care Act (ACA). We strongly oppose the proposal to end ACA coverage for people granted deferred action under the Deferred Action for Childhood Arrivals (DACA) program. We also oppose the other provisions in this proposed regulation that would make it more difficult for all U.S. residents to enroll in health coverage.

Read More (PDF)
Related Resources
resource

Overview of Immigrant Eligibility for Federal Programs (Table)

Updated Oct 15, 2026 This table provides an overview of immigrant eligibility for the major federal public assistance programs. Originally published in November 2015.

resource

Major Benefit Programs Available to Immigrants in California (Table)

Updated Oct 15, 2026 This table lists the programs for which certain immigrants residing in California are eligible. Originally published in May 2017.

A woman with curly black hair is giving her four-year-old child, wearing a rainbow-colored dress, her daily flush solution through her intravenous line.
commentary

What Immigrants Need to Know About the New ACA Eligibility Restrictions

Sarah Krieger

Published Oct 9, 2026 Congress has ensured that immigrant families will struggle more to afford health coverage and necessary care when open enrollment begins next month.

resource

Overview of Immigrant Eligibility for Federal Programs

Updated Oct 6, 2026 This resource focuses on eligibility and other rules governing immigrants’ access to federal public benefits programs. Originally published in November 2015.