State-Specific Medicaid/CHIP Eligibility Criteria and Their Impact on Health Care Access for Foreign-born Children Living in the United States

Lonquich, Brian; Camp, Elizabeth A.; Fredricks, Karla; Russell, Eric A.

doi:10.1353/hpu.2023.0023

Cited by 1 publication

(1 citation statement)

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“…Negative immigration rhetoric and anti-immigrant legislation (defined as legislation that "serves to restrict immigrant access to basic services, public benefits, or employment, or increase the threat of legal consequence or deportation" [75•]) impacts family stress levels and limits access to medical and social services through the "chilling effect": regardless of true eligibility for services, such rhetoric and policies instill fear, confusion about eligibility, and fear of becoming a public charge [76], decreasing willingness to access services families are eligible for [77][78][79][80][81][82]. Insurance rates are lower in communities with more restrictive access to health care benefits, and medical insurance is a positive predictor of health outcomes [79]. The impact of immigrant unfriendly policy/political environments on mental health, in particular, has been an area of active research [80].…”

Section: Policy and Political Environmentmentioning

confidence: 99%

Impact of the Relational, Built, Community, and Policy/Political Environments on Immigrant Child Health: A Narrative Review

Zuckerman,

Nagin,

Ibrahim

et al. 2024

Curr Pediatr Rep

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Purpose of Review We summarize recent evidence describing how the health of first-generation immigrant children (FGIC) is influenced by the relational, built, community, and policy/political environments after migration to the United States. Recent Findings FGIC health is promoted and strengthened by family values, cultural ties, and positive peer relationships, while prior trauma, stressors in family relationships and discrimination detract from physical and mental health. While individual circumstances vary, some FGIC experience substandard built environments associated with poverty, including housing insecurity, food insecurity, and toxin exposures. Within community environments, FGIC receive support from their cultural communities, but may face challenges in navigating complex education and health systems. The policy/political environment often negatively impacts FGIC’s mental health and their ability to access medical and social services. Summary Healthcare provider awareness about health promoting and detracting factors for FGIC across multiple environments after migration can help inform comprehensive, trauma-informed care.

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