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Democratic States Freeze and Cut Health Coverage for Undocumented Immigrants

Governors blame unsustainable program expenses alongside ballooning budget gaps for recent freezes, cuts to immigrant health coverage

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Some Democrat-run states are rolling back health care, or considering rolling it back, for undocumented immigrants due to heightened fiscal budgets.
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Overview

  • California Gov. Gavin Newsom has proposed pausing new Medi-Cal enrollments for undocumented adults starting January 1, 2026, and plans a $100 monthly premium for those already enrolled beginning in 2027.
  • Illinois Gov. J.B. Pritzker will end the Health Benefits for Immigrant Adults program on July 1, terminating coverage for more than 30,000 low-income undocumented residents.
  • Minnesota Gov. Tim Walz has agreed to sign legislation removing undocumented adults from MinnesotaCare by year’s end while preserving eligibility for their children.
  • Colorado Republicans have called on Gov. Jared Polis to rescind Medicaid eligibility for undocumented immigrants, warning that potential federal funding cuts could worsen the state’s budget shortfall.
  • The Trump administration issued a final rule ending ACA coverage for immigrants who entered illegally as children, reinforcing federal support for tighter limits on noncitizen benefits.