1. GET COVERED Illinois: Insuring Immigrants & Refugees

2. Who are the uninsured immigrants in IL?
All Foreign-Born 1,866,118
FB no health insurance 490,109 FB w/o insurance (26% of total FB population
76, 381 are LPRs 38% (from 490, 109) are legal immigrants
109,790 are naturalized citizens
From FB No health insurance:
Latino 69% (379,595)
Asian 10% (55,618)
White FB 16% (80,678)
Other FB 7% (36,023)

3. Mixed status immigrant families in IL
This Chart focus on top 7 mixed status categories, total=583,288.5
Mixed status immigrant family Total: 686,534.5
Native and Naturalized 223,096.5
Native and LPR 95,062.5
Native and Undocumented 91,517.0
Naturalized only 71,531.5
Native, Naturalized, and LPR 44,674.5
LPR only 30,246.5
Native, Naturalized, and Undocumented 27,160.0
Undocumented only 25,786.5
Native, LPR, and Undocumented 24,064.5
Naturalized and LPR 23,757.5
LPR and Undocumented 12,759.0
Naturalized and Undocumented 10,841.0
Native, Naturalized, LPR, and Undocumented 3,433.0
Naturalized, LPR, and Undocumented 2,604.5

4. Barriers to Access Immigration status verification Language access
ABE
Marketplace
Language access
Complexity of the Application Process and of Eligibility Rules
IRS Policies
MAGI (Modified Adjusted Gross Income)
Credit History
Limited Computer Proficiency
Of the more than 1.6 million uninsured, it is estimated that 610,821 may qualify for the New Medicaid; 776,040 will be able to buy insurance through the exchange/marketplace and qualify for tax credits that allow consumers to purchase more affordable health insurance; and another 260,666 will be able to buy insurance through the marketplace but will not be eligible to receive tax credits.
The complexity of these options increases for uninsured immigrants, whose options are based on both income level and immigration status. Illinois is home to 1,754,808 immigrants, 785,705 of whom are naturalized U.S. citizens (45%) and an additional 969,103 are either Legal Permanent Residents (LPRs) (55%) or undocumented. Non-citizens are three times as likely to be uninsured as U.S.-born residents. An estimated 539,931 immigrants (30% of total uninsured population in Illinois) are uninsured and about 259,073 (48 %) are eligible for coverage under the ACA.
MENTION THESE ISSUES:
Language, Literacy and Cultural Issues
Climates of Fear and Mistrust, Particularly Among Mixed-Status Families
EXAMPLES:
Tax issues-for imm families man in head of household but its wife who applies for benefits, the issue is wife cannot always obtain information from husband and also doesn’t understand it b/c husband is the one that prepares/takes care of everything
Credit History
It’s an issue because they use the credit history through the company Experian to help verify a person’s identity. As far as I can tell, if ppl don’t have a credit history it just means that the process takes longer because then people have to scan in documents and send to healthcare.gov rather than the datahub being able to automatically verify them.
Complexity of different visas for ACA

5. Luvia Quiñones Director, Immigrant Family Resource Program, ICIRR