Jeffrey Wade
As of November 1, 2024, Deferred Action for Childhood Arrivals (DACA) recipients are eligible to enroll in private health insurance plans through the health insurance marketplaces created by the Affordable Care Act (ACA). This means that DACA recipients can now access affordable, quality health care, bringing them one step closer to living the American Dream. While they are not eligible for federally-funded Medicaid, they may be eligible for state-funded Medicaid or similar programs in some states.
| Characteristics | Values |
|---|---|
| DACA recipients' eligibility for health insurance | Eligible for Affordable Care Act coverage in some states but not others |
| DACA recipients' eligibility for Medicaid | Not eligible for federally-funded Medicaid; may be eligible for state-funded Medicaid or similar programs in some states |
| DACA recipients' eligibility for private health insurance | Eligible to enroll in private health insurance plans through the health insurance marketplaces created by the Affordable Care Act (ACA) from November 1, 2024 |
| DACA recipients' eligibility for Qualified Health Plan (QHP) | Eligible to enroll through the Health Insurance Marketplace from November 1, 2024 |
| DACA recipients' eligibility for Basic Health Program (BHP) | Eligible to enroll from November 1, 2024 |
| DACA recipients' eligibility for special enrollment period | Eligible for a special enrollment period in 2024, allowing them to start using health insurance on December 1, 2024, if they enroll by November 30, 2024 |
| Deadline for DACA recipients to sign up for health insurance for 2025 | January 31, 2025 |
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What You'll Learn
- DACA recipients can enrol in private health insurance plans through the Affordable Care Act (ACA)
- DACA recipients are not eligible for federally-funded Medicaid
- DACA recipients may be eligible for state-funded Medicaid in some states
- DACA recipients can receive financial help if they qualify
- DACA recipients can enrol in health coverage through Get Covered Illinois Marketplace
DACA recipients can enrol in private health insurance plans through the Affordable Care Act (ACA)
DACA (Deferred Action for Childhood Arrivals) recipients can enroll in private health insurance plans through the Affordable Care Act (ACA) Health Insurance Marketplace. This change came into effect on November 1, 2024, and allows DACA recipients to enroll in a Qualified Health Plan (QHP) through the ACA Health Insurance Marketplace or for coverage through a Basic Health Program (BHP).
DACA recipients can now access health insurance plans through online health insurance marketplaces such as HealthCare.gov and Get Covered Illinois. To enroll, DACA recipients must file a federal tax return and not have comprehensive, affordable coverage from another source. Depending on their income, they may also be able to access financial assistance, such as subsidies, Advance Payments of the Premium Tax Credit (APTC), and Cost-Sharing Reductions (CSRs).
The Biden-Harris Administration's decision to expand access to health care for DACA recipients is part of their commitment to ensuring affordable, quality health care for all. The rule change ensures that DACA recipients will no longer be excluded from eligibility for health insurance coverage. It is estimated that this rule change could lead to 100,000 previously uninsured DACA recipients enrolling in health coverage.
While DACA recipients are not eligible for federally-funded Medicaid, they may be eligible for state-funded Medicaid or similar programs in certain states, such as Oregon and California. Additionally, in states that have implemented the BHP, such as New York, Minnesota, and Oregon, DACA recipients can enroll if they have an eligible income.
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DACA recipients are not eligible for federally-funded Medicaid
The Biden-Harris Administration has made efforts to increase access to healthcare for DACA recipients. Despite this, DACA recipients are not eligible for federally-funded Medicaid. This is because, until the 2024 health coverage expansion, DACA recipients were not considered "lawfully present" for health coverage eligibility purposes.
DACA, or Deferred Action for Childhood Arrivals, was established in 2012 to protect undocumented immigrants brought to the U.S. as children from removal proceedings and to provide them with work authorization. Before 2024, DACA recipients were ineligible for federally-funded health coverage, including Medicaid, the Children's Health Insurance Program (CHIP), and ACA Marketplace coverage.
The 2024 health coverage expansion aimed to address this by allowing DACA recipients to enroll in private health insurance plans through the Affordable Care Act (ACA) marketplaces. However, this expansion only applies in certain states, and DACA recipients in 19 states remain ineligible for ACA Marketplace coverage.
While DACA recipients cannot access federally-funded Medicaid, they may be eligible for state-funded Medicaid or similar programs in some states, such as Oregon and California. These programs vary in eligibility requirements and the scope of benefits offered. Additionally, DACA recipients may qualify for other health coverage options, such as Moms & Babies, Medicaid Presumptive Eligibility (MPE), and the Family Planning Presumptive Eligibility (FPPE) Program, which are available regardless of immigration status.
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DACA recipients may be eligible for state-funded Medicaid in some states
The Biden-Harris Administration has finalized policies to increase access to health coverage for DACA recipients. The US Department of Health and Human Services, through the Centers for Medicare and Medicaid Services (CMS), has modified the definition of "lawfully present" to determine eligibility for enrollment in a Qualified Health Plan (QHP) through the Health Insurance Marketplace. This modification ensures that DACA recipients are no longer excluded from eligibility and can enroll in a QHP through the Marketplace with financial assistance.
While DACA recipients are not eligible for federally-funded Medicaid, they may be eligible for state-funded Medicaid or similar programs in certain states, such as Oregon and California. These programs are typically based on income and provide coverage for those who do not qualify for federal assistance.
In addition to state-funded Medicaid, DACA recipients can explore other health coverage options that are available regardless of immigration status. These options include programs like Moms & Babies, Medicaid Presumptive Eligibility (MPE), the Family Planning Presumptive Eligibility (FPPE) Program, and All Kids.
Starting November 1, 2024, DACA recipients will be eligible to enroll in private health insurance plans through the Affordable Care Act (ACA) marketplaces, such as HealthCare.gov. This expansion of eligibility will increase access to health insurance for DACA recipients and improve their overall health and well-being.
DACA recipients should take advantage of the special enrollment period in 2024, allowing them to start using their chosen health insurance plan by December 1, 2024, if they enroll by November 30, 2024. They may also qualify for advance payments of the premium tax credit (APTC) and cost-sharing reductions (CSRs) to reduce the cost of their Marketplace coverage, depending on their income.
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DACA recipients can receive financial help if they qualify
The Biden-Harris Administration has finalized policies to increase access to health coverage for DACA (Deferred Action for Childhood Arrivals) recipients. The US Department of Health and Human Services, through the Centers for Medicare and Medicaid Services (CMS), has modified the definition of "lawfully present" to determine eligibility for enrollment in a Qualified Health Plan (QHP) through the Health Insurance Marketplace and a Basic Health Program (BHP). This modification ensures that DACA recipients are no longer excluded from eligibility and can enroll in health insurance plans starting November 1, 2024.
DACA recipients can now enroll in private health insurance plans through the health insurance marketplaces created by the Affordable Care Act (ACA), such as HealthCare.gov. To be eligible, they must file a federal tax return and not have comprehensive, affordable coverage from another source. Depending on their income, they may also be able to receive financial assistance through subsidies, Advance Payments of the Premium Tax Credit (APTC), and cost-sharing reductions (CSRs). These options make buying and using marketplace coverage more affordable.
It is important to note that DACA recipients are still not eligible for federally funded Medicaid. However, they may be eligible for state-funded Medicaid or similar programs in certain states, such as Oregon and California. Additionally, in states that have implemented the Basic Health Program (BHP), including New York, Minnesota, and Oregon, DACA recipients can enroll if they meet the eligible income requirements.
DACA recipients who are self-employed or have specific coverage options through their employer may also apply for marketplace coverage and subsidies, depending on their income. Furthermore, DACA recipients in Illinois can take advantage of the Get Covered Illinois Marketplace, which offers health coverage options regardless of immigration status. These changes demonstrate the Biden-Harris Administration's commitment to ensuring affordable and accessible healthcare for all, including DACA recipients who have built their lives in the United States.
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DACA recipients can enrol in health coverage through Get Covered Illinois Marketplace
DACA (Deferred Action for Childhood Arrivals) recipients can now enrol in health coverage through the Get Covered Illinois Marketplace. This is a result of a new federal rule that came into effect on November 1, 2024, allowing DACA recipients to enrol in health insurance plans for the first time.
The Get Covered Illinois Marketplace is the official health insurance marketplace or "exchange" for Illinois consumers to purchase health insurance. It is facilitated by the federal government and offers Illinois residents a range of quality, affordable health insurance options. There are 347 health plans offered by 11 insurance companies throughout the state.
DACA recipients can enrol in private health insurance plans through the Get Covered Illinois Marketplace, and they may be eligible for financial assistance. To qualify for financial help, such as premium tax credits and cost-sharing reductions, DACA recipients must meet certain criteria, including household size, income, and whether they have access to affordable comprehensive coverage through another source.
It is important to note that the new federal rule does not change or expand eligibility for Federal Medicaid. However, DACA recipients in Illinois can still access several health coverage options, such as Moms & Babies, Medicaid Presumptive Eligibility (MPE), the Family Planning Presumptive Eligibility (FPPE) Program, and All Kids, which are available regardless of immigration status.
DACA recipients who are interested in enrolling in health coverage through the Get Covered Illinois Marketplace can visit the website GetCoveredIllinois.gov. They can also receive assistance with the enrollment process and finding the right plan for their needs from certified Get Covered Illinois Navigators.
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Frequently asked questions
DACA recipients can start enrolling in health insurance on November 1, 2024, with coverage beginning as early as December 1, 2024. They have until January 31, 2025, to sign up for health insurance for 2025.
DACA recipients can enroll in private health insurance plans through the health insurance marketplaces created by the Affordable Care Act (ACA), such as HealthCare.gov and Get Covered Illinois. They can also enroll in a Qualified Health Plan (QHP) through the Marketplace with financial assistance. Additionally, in states that have implemented the Basic Health Program (BHP), such as New York, Minnesota, and Oregon, DACA recipients may be eligible to enroll in BHP.
Yes, DACA recipients may be able to receive subsidies or financial assistance, depending on their income. They may qualify for advance payments of the premium tax credit (APTC) and cost-sharing reductions (CSRs) to reduce the cost of their Marketplace coverage.
DACA recipients are not eligible for federally-funded Medicaid. However, they may be eligible for state-funded Medicaid or similar programs in some states, such as Oregon and California. Additionally, they may be eligible for other health coverage options that are available regardless of immigration status, such as Moms & Babies, Medicaid Presumptive Eligibility (MPE), and the Family Planning Presumptive Eligibility (FPPE) Program.
