As I discussed in this article with Vanessa, this is the first time in history that Congress has taken away Medicare from any group, and the immigrants impacted are those with lawful presence in the U.S., many of whom have paid into the system for decades.

Took a break from doomscrolling today to make some baked Greek chicken with lemon potatoes

I really need to start watching The Pitt

“Don’t take me to the hospital”: Undocumented immigrants in Texas are delaying medical care www.texastribune.org/2026/03/30/t...

We did a thing today! 🤵‍♂️👰‍♀❤️

@kff.org analysis of ICE data finds that 46 people have died in their custody or in detention centers in a little over a year under the current Trump administration, far exceeding the 26 deaths under the Biden admin from '21-'24. www.kff.org/racial-equit...

There’s lots of focus on what a reconciliation bill could do — parts of the SAVE Act, fund ICE, and pay for the Iran war. There’s less focus on how all of that would get paid for, which would likely mean more health care cuts.

@kff.org analysis of ICE data finds that 46 people have died in their custody or in detention centers in a little over a year under the current Trump administration, far exceeding the 26 deaths under the Biden admin from '21-'24. www.kff.org/racial-equit...

'25 survey data from @kff.org finds that immigrant parents are facing increased challenges in the current environment. Among other findings, 4 in 10 report problems paying for health care and 3 in 10 say their child skipped or postponed care www.kff.org/immigrant-he...

Also, the fact that at all of the points in time included here since 2018, 4 in 10 or more adults have said they are worried about being able to afford prescription drug costs is something to really think about re the U.S. health care system...

It's interesting that Congress is moving to restrict institutional investors from buying up homes, but there's no similar effort for health care.

This may not last with gas prices rising, but we have not seen it often: health costs are THE top household economic concern, propelled by reality, political debate about ACA tax credits, and media coverage.

President Trump negotiated lower prices for some drugs on TrumpRx, but discounts only apply to cash paying patients not using their insurance. Many drugs already had big discounts through manufacturers or coupons, and some have generic equivalents that are already much cheaper.

Really great quiz by @kff.org that helps you learn more about health insurance in the U.S. I have a PhD in health policy and still got a question wrong because health insurance is confusing!

Analysis of USCIS data by @kff.org finds that NY (14%), MA (9%), CA (8%), PA (6%), and OH, TN, and FL (5% each) accounted for over half of all approved H-1B visas for health care and social assistance in FY '25. $100K fee could disproportionately impact these states. www.kff.org/immigrant-he...

New analysis by @kff.org finds that H-1B visa approvals for health care and social assistance increased by 8% between FY 2022 and 2025. Policy changes such as the $100K entry fee could reduce the number of H-1B workers in these industries, exacerbating worker shortages. www.kff.org/immigrant-he...

In a @kff.org survey from fall '25, nearly half of likely undocumented immigrant adults, and one in seven who are lawfully present, said they had avoided medical care since January '25 due to immigration-related concerns -- recent increases in ICE presence could further exacerbate these challenges

DOS recently paused immigrant visas for nationals from 75 countries deemed more likely to become a "public charge". Analysis from @kff.org finds that immigrants from these countries account for 7.8 million workers in the U.S., including 1.2 million health care workers. www.kff.org/immigrant-he...

The latest poll also finds that health care costs are the top economic worry for Democrats, independents and Republicans. Looking ahead to the election, more than 4 in 10 voters say health care costs will have a “major impact” on their decision to vote & which party’s candidate they will support.

You can't find anyone more trusted in health care -- or maybe anywhere -- than nurses.

New piece from @kff.org highlights policy changes regarding immigration enforcement at health care facilities and discusses their impacts on the health and safety of the community amid reports of increased ICE presence in and around hospitals in Minnesota www.kff.org/quick-take/h...

from @drishp.bsky.social and team

Health care one year into the Trump administration: A trillion dollars in health care cuts. Expiration of enhanced ACA premium subsidies. Narrowing vaccine recommendations. Cutting off funds to Planned Parenthood. Deals with drug companies with unclear reductions in prices.

New data sharing agreement between CMS and ICE raises some key issues re compliance with court orders applicable in several states to share data only for individuals who are not lawfully present and also increases concerns around data privacy and protection www.kff.org/immigrant-he... @kff.org

The U.S.-Born Unemployment Rate Rose After Trump Reduced Immigration www.forbes.com/sites/stuart...

😱YIKES New guidance from the Trump Administration's CMS cites Secretarial discretion to DROP mandatory state reporting of immunization rates for children + pregnant adults covered by Medicaid/CHIP This is close to 1/2 the children in the US and more than 40% of births medicaid.gov/federal-policy…

“If I stay, there can be no party. I must be out there in the night, staying vigilant...No, I can’t sleep. You sleep. I’m awake. I don’t sleep. I don’t blink. Am I a bird? No. I’m a bat.I am Batman. Or am I? Yes, I am Batman." - Abed, Community @dogs.bsky.social #dogsofbluesky

Some respite from the cold and chaos ☀️ Scenes from Kerala, India

New analysis from @kff.org estimates the number of individuals, including citizen children, who may disenroll from Medicaid or CHIP due to public charge and other immigration-related fears. A potential disenrollment rate of 10%-30% could see 1.3M to 4M people disenroll.

@kff.org analysis finds that almost half of noncitizen adults living in the U.S. have one of the health conditions that may be grounds for visa denial based on new State Dept. guidance. The analysis also finds that noncitizens are much less likely than U.S. citizens to have one of these conditions.

In addition, even prior to these changes, an increasing share of U.S. hospitals reported hiring immigrant nurses. Efforts to restrict immigration on top of the changes discussed in this video could further exacerbate nursing workforce shortages @kff.org www.kff.org/racial-equit...

⚡ KFF’s Drishti Pillai reacts to a notice the Centers for Medicare and Medicaid Services (CMS) issued that it will begin sharing Medicaid data it receives from states with Immigration and Customs Enforcement (ICE) for immigration enforcement. https://on.kff.org/3LVA1dK #QuickTake

CMS just issued a notice that it will start sharing personal data of Medicaid enrollees with ICE for immigration enforcement, including data on immigration status, location, and phone numbers. @kff.org Quick Take discusses the impact this could have on immigrant families www.kff.org/quick-take/c...

The refugee admissions cap has been set at an all-time low of 7,500 for FY26 and Congress has enacted significant reductions to refugees' and asylees' access to health coverage and other public benefits. New piece by @kff.org discusses these changes and their implications www.kff.org/immigrant-he...

40% of immigrant adults — and 77% of likely undocumented immigrants — say immigration-related worries have led to negative health impacts since January, including stress, sleep problems, or worsening chronic conditions. https://on.kff.org/47OUlWR

The trillion dollars in health care cuts passed by Republicans earlier this year are backloaded and mostly won't take effect before the midterms. Letting enhanced ACA tax credits expire would take effect January 1, leading to big out-of-pocket premium increases and more people uninsured.

Wonky but important question for understanding the effects of proposals to convert ACA premium tax credits to health savings accounts: How big would the contributions be? Would they vary by income, age, and geography in the same way as the premium tax credits?

NEW: The New York Times and KFF surveyed 1,800+ immigrants in the United States. Half of all immigrants say they feel less safe since President Trump took office, and yet the majority are resolved to stay. Check out the poll's findings: www.nytimes.com/2025/11/18/u...

When my patients aren't able to come for their follow-up visits, I wonder if this is the case. Many times it is an issue with insurance, which at this point is almost a relief that it wasn't something worse.

⚡ KFF’s @sartiga.bsky.social explains that the proposed change to the public charge rule would likely lead to further declines in use of health care and programs among immigrant families. #QuickTake https://on.kff.org/445QwKs

New survey from @kff.org and @nytimes.com reveals deepening anxiety and fear among immigrants of all statuses amid the Trump administration’s intensified immigration enforcement and restrictive policies www.kff.org/kff-nytimes-...

Something that is often missed in the shutdown (and other) debates about health care for immigrants is that research actually shows that immigrants, especially undocumented immigrants, help subsidize health care for U.S.-born citizens by contributing more in premiums and taxes than they use.

BREAKING: Common health conditions such as obesity and diabetes could prevent immigrants from obtaining U.S. visas under guidance the Trump administration issued Nov. 6. kffhealthnews.org/news/article...

Something I think gets lost in the debate over ACA enhanced premium tax credits: 65% of ACA marketplace enrollees have incomes under 200% of the poverty level ($31,300 for a single person). These are folks who make too much for Medicaid but don't have access to employer coverage.

Many implications of the big Dem win tonight. One for health care: it could provide an incentive for Republicans to make a deal on ACA tax credits to deny Democrats the issue in the midterms and further momentum.

Maldives becomes the first country to impose a generational ban on smoking The world-first ban prohibits anyone born after Jan. 1, 2007, from ever buying, using or smoking tobacco. www.nbcnews.com/world/asia/m...

It's that time of year again #daylightsavings #community

H.R.1 ends health coverage eligibility for many lawfully present immigrants. It doesn't change health coverage options for undocumented immigrants who are already ineligible for federally funded health coverage under longstanding policy. More on this @kff.org : www.kff.org/quick-take/r...

The Washington Post has reported that premiums charged by ACA insurers for benchmark plans will increase an average of 30% in 2026. But that’s NOT the increase most ACA enrollees will see. Their out-of-pocket premiums will increase by much more if enhanced tax credits expire.

There’s a lot of confusion about how much ACA premiums are going up and what it means. That will likely continue this week as window shopping is expected to begin in the federal ACA marketplace. I’ll try to clear things up.