Thousands Of Undocumented Kids Can Now Enroll In Health Care Coverage

State Sen. Ricardo Lara, D-Bell Gardens, speaks at a rally where health care and immigrant rights advocates celebrated the expansion of Medi-Cal to children and teens illegally brought to the United States, held at the Capitol Monday, May 16, 2016, in Sacramento, Calif.
State Sen. Ricardo Lara, D-Bell Gardens, speaks at a rally where health care and immigrant rights advocates celebrated the expansion of Medi-Cal to children and teens illegally brought to the United States, held at the Capitol Monday, May 16, 2016, in Sacramento, Calif.

This week, more than 170,000 undocumented children became eligible to enroll in state-funded health insurance plans in California, going beyond Obamacare to allow more immigrants to have access to comprehensive health services for the first time in the state.

The “Health4AllKids” health care expansion allows low-income children under the age of 19 to receive affordable care under Medi-Cal, the name for California’s Medicaid program, regardless of their immigration status. This will allow undocumented kids to access the full scope of Medi-Cal benefits — such as regular preventive and primary care, dental, and mental health services, as well as behavioral health treatment for children with autism.

The aim of the expansion is to ensure health care for a population that “for the most part only had limited access to emergency-only services,” the children’s advocacy group First Focus said in a statement on its website.

California’s Department of Health Care Services estimates that 114,981 undocumented children were previously eligible only for restricted-scope Medi-Cal benefits, while another 55,019 children couldn’t receive any Medi-Cal benefits at all.

To qualify for the program, children must belong to a family that meets low-income requirements, making no more than $65,505 for a year for a family of four. Families with lower incomes may be able to receive coverage for free, while other families may pay between $19 per child or $39 for all their children, according to the Desert Sun. About one-sixth of the newly eligible low-income undocumented children live in the agricultural areas of Sacramento and Kern counties.

California is the fifth state to extend coverage to undocumented children, following Illinois, Massachusetts, New York, Washington, D.C., and Washington state. Anywhere between 2.7 million to 3.4 million Californians are uninsured, including 1.4 million undocumented immigrants who may not be able to afford private insurance. Although the Affordable Care Act extended affordable insurance options to millions of Americans, undocumented immigrants were left out of health reform.

Health4AllKid‘s original sponsor, State Sen. Ricardo Lara (D) — who is himself the son of an undocumented immigrant — argued that extending coverage to more immigrants would help the government save money in annual emergency room bills. Many uninsured, undocumented individuals do not seek out medical treatment until they have to be rolled into the emergency room, which cannot deny care to anyone regardless of immigration status. In turn, emergency room visits cost the California economy between $18.3 billion and $36.7 billion in lost productivity, according to a 2009 Center for American Progress report.

For practical reasons, not seeking treatment for illnesses can also lead to significant financial hardship, since uninsured people are more likely to fall into medical bankruptcy than insured individuals, according to a 2007 American Journal of Medicine study.

Health advocates also argue that the extending health care services to the undocumented population has the potential of saving lives through preventative care, particularly because uninsured individuals are less likely to seek out services for major health conditions and chronic disease, which could have a big impact in their sunset years.

Nigeria and EU to start migrant return talks

A number of officials called for the European Union to help with the influx of immigrants [Reuters]
File photo: A number of officials called for the European Union to help with the influx of immigrants [Reuters]
Maggie Fick  |  FT – The EU and Nigeria will discuss a deal to send economic migrants back to Africa’s most populous country as Europe seeks to replicate a recent pact with Turkey that is dramatically curbing migration flows from the Middle East.

A “readmission agreement” would probably involve migrants from Nigeria being deported in exchange for EU economic aid for Abuja. It would be the bloc’s first major return deal with a sub-Saharan African nation — its only existing one is with tiny island nation Cape Verde.

 The EU and Nigeria agreed to “take the necessary steps to launch negotiations” for a deal after meetings in Brussels last month, and diplomats there have since been working to secure a mandate from member states to start the negotiations, an EU diplomat said.

The move comes after the EU signed a deal with Turkey earlier this year, in which Ankara agreed to accept the return of migrants landing in Greece — including Syrian refugees — in exchange for benefits, including aid and visa-free travel for Turkish citizens.

Striking a deal with Nigeria has become a focus for EU diplomats after a jump in arrivals of people from the country to Europe since 2014. While the number of Nigerians pales in comparison to arrivals from Syria, Iraq and Afghanistan, the EU considers the flow of Africans as a long-term structural problem.

Italy is lobbying especially hard for the EU to come to an agreement. The vast majority of migrants reaching the country come from Africa. Figures from the Italian interior ministry show the number of Nigerians arriving has increased 37 per cent this year compared with the same period in 2015.

Nigerians arrive almost exclusively across the central Mediterranean from war-torn Libya. Many African migrants destroy their identification documents during their journey, meaning a returns deal could be difficult to enforce if European authorities cannot identify where people should be deported to.

Nigeria’s population of more than 180m is expected to jump to 300m by 2030. Economic growth is not keeping pace, however. The government in the oil-rich state failed to capitalise on high crude prices and poverty levels remain high. The oil price crash has caused a severe slowdown and growth is forecast to be less than 3 per cent this year.

For many Nigerians the money they can potentially earn in Europe outweighs the risks of the journey. Virtually none of the migrants are believed to be refugees from the Boko Haram conflict that has devastated the northeastern region recently, according to the EU.

Given the population growth trend not just in Nigeria but across west Africa, “these pressures for migration are going to be huge”, the EU diplomat said.

Nigeria’s foreign ministry did not respond to a request for comment over a potential deal with the EU, but Abuja may look to the terms secured by Turkey. The EU has agreed to give Ankara €6bn in exchange for accepting migrants who land on Greek islands. The flow of migrants into Greece has slowed to a trickle since the deal was signed five weeks ago but rights groups say the agreement breaks EU and UN laws related to the processing of asylum seeker claims — a charge the EU denies.

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