Posted on 04/11/2006 9:33:47 AM PDT by tellw
Almost all of the state's poorest residents will have to show proof of US citizenship to continue getting medical care by July 1, under a little-noticed federal law that could endanger coverage for many, as Massachusetts is trying to expand access to healthcare.
(Excerpt) Read more at boston.com ...
"What about the Dingell-Norwood bill???"
US rule demands proof of citizenship for healthcare
Law could hurt the state's poorest
By Scott Helman, Globe Staff | April 11, 2006
Almost all of the state's poorest residents will have to show proof of US citizenship to continue getting medical care by July 1, under a little-noticed federal law that could endanger coverage for many, as Massachusetts is trying to expand access to healthcare.
Born out of ongoing efforts in Washington to clamp down on illegal immigration, the new federal requirement compels anyone seeking Medicaid coverage to provide a birth certificate, a passport, or another form of identification in order to sign up for benefits or renew them.
No such proof is required now.
The requirement was tucked into the Deficit Reduction Act of 2005, which President Bush signed into law earlier this year.
The measure was part of an effort to limit the skyrocketing growth of federal entitlement programs. It has surfaced as Massachusetts begins to implement its sweeping healthcare plan, which aims to bring health coverage to almost all of the state's uninsured, in part by enrolling those in Medicaid who are eligible but who have not signed up.
Healthcare specialists voiced fear that because many Medicaid recipients -- including the homeless and the mentally disabled -- won't be able to easily produce documentation of their citizenship, they will have difficultly receiving care at community health centers, hospitals, or anywhere else.
''So we've got people in nursing homes, people in the [state Department of Mental Retardation] institutions, we've got the homeless, we've got the . . . mentally ill who now will have to come up with some verification to prove that they're citizens," said Victoria Pulos, health law attorney at the Massachusetts Law Reform Institute. ''It's ironic that this is happening in the state where part of the health reform plan is to make sure that everyone who's eligible for Medicaid is enrolled."
The new federal requirement, which all states have to comply with, would apply to the vast majority of the more than 1 million people on MassHealth, the Massachusetts Medicaid program.
The intent is to prevent undocumented immigrants from posing as citizens and taking advantage of taxpayer-funded healthcare benefits that are afforded only to legal residents. (Under federal law, undocumented immigrants can receive only emergency Medicaid care; Massachusetts has 40,000 on such a program, which is called MassHealth Limited.)
Less than three months before the new citizenship requirement takes effect, though, Massachusetts and other states are waiting for guidance from the federal government on how it will work.
Mary Kahn, a spokeswoman for the federal Centers for Medicare & Medicaid Services, said that the agency is writing the regulations, but that there is no indication of a delay.
Massachusetts already compels Medicaid recipients to verify their incomes, usually through W-2 forms, to ensure that the figure is low enough to qualify for the program. The state Medicaid director, Beth Waldman, played down the difficulty of adding another requirement.
''This shouldn't take away from people's access to healthcare," Waldman said. ''All you need to do is show that you're a citizen."
Waldman said that many of the state's 1,033,000 MassHealth recipients are not likely to have trouble proving citizenship, because they have already had to do so in registering with some other federal program, such as Social Security. (About 478,000 MassHealth members, for example, also get Medicare, Social Security, or welfare benefits, the state says.)
Some healthcare advocates, though, described the new rules as onerous on community health centers and other healthcare providers, but more so on Medicaid recipients, many of whom, they said, may not continue getting care if they cannot provide the paperwork or may have to wait to get treatment until they can locate the right documents.
''We're in the business of trying to make central Dorchester and parts of Mattapan a healthier place," said Bill Walczak, chief executive officer of Dorchester's Codman Square Health Center. ''We didn't create the healthcare centers to become citizenship enforcement centers."
The provision was added to the Deficit Reduction Act by two Republican representatives from Georgia, Charles Norwood and Nathan Deal, who have been outspoken against illegal immigration. Bush signed the legislation two months ago, saying, ''The bill I sign today restrains spending for entitlement programs while ensuring that Americans who rely on Medicare and Medicaid continue to get the care they need."
Chris Riley, Deal's chief of staff, said yesterday that the citizenship provision was simply about ''enforcing the law."
''The intent was to verify that US citizens are getting Medicaid," Riley said.
Norwood issued a statement in February saying, ''After years of listening to 'advocates' whine about compassion for those who intentionally break our laws for financial gain, I'm glad to see us finally showing some compassion for our own poor and sick who abide by the law."
State Representative Marie J. Parente, a Milford Democrat who speaks often about restricting illegal immigration, said she agreed with Norwood's statement. Parente said she was at an event in Peabody yesterday at which someone asked her about healthcare for illegal immigrants.
''I said, 'Why don't you have the same compassion for the American people who don't have a good healthcare plan?' " said Parente, who hosted a meeting on immigration last week at the State House that she said drew more than 1,000 people.
The Center on Budget and Policy Priorities in Washington, D.C., issued a report this year saying that the rule would affect nearly 50 million people nationwide.
It would, the report said, ''almost certainly create significant enrollment barriers for millions of low-income citizens who meet all Medicaid eligibility requirements."
An evaluation of the Medicaid program by the inspector general of the US Department of Health and Human Services in July 2005 recommended the agency strengthen quality control to prevent abuse by noncitizens.
It did not, however, recommend requiring recipients to provide proof of citizenship.
Healthcare providers said it was too early to know how the federal requirement would affect Massachusetts, but they say they would always treat people who need care, no matter their ability to pay nor their documentation. They said it could, however, create complications for them in qualifying for federal reimbursement.
''We know that this will create some potential problems for folks in traditional Medicaid programs," said a Massachusetts Hospital Association spokesman, Paul Wingle. ''What this comes down to for hospitals is really not . . . whether folks get urgently needed care. It comes down to whether or not that care will be reimbursed."
Gee, you have to be a citizen to us tax payer money? Bummer.
We should treat our illegal 'guests' exactly the same as their home countries would treat us if we snuck in to stay.
You gotta wonder...
Thanks for posting this great news.
Now, we will hear the whining from the 1,000s of pseudo non profit hospitals across the land and of course the illegal alien population getting free medical care.
This should drive down the cost of Medical Care across our nation.
Hopefully the same thing can be done with our Federal Tax $'s to eliminate any Fed $'s going to a school district for any daily illegal alien attendance. A born again conservative, a recently retired principle, told us a couple of months ago, if the feds stop sending the daily attendance $'s for each illegal alien student, there would be massive screaming from the NEA and other union thugs.
If that's so what does this matter?
Fraud in voting, in using public programs, in the way children are taught.... Fraud is the essence of leftist America.
When I registered to vote, all I had to do was to affirm that I'm a US citizen. Weak.
Today you march, tomorrow you vote?
While you demand I learn Spanish
Or you’ll yell racist and lunge for my throat
You demand rights and citizenship from me
While waving the large flag
Of the country your risked your life to flee
You say want what is your right
While I pay for your children’s schooling and births
And we watch as MS-13 and our police fight
You shout that you came and that you should stay
While my money pays for your food stamps
And you and your friends take my friends’ jobs away
My taxes rise to pay for your children born here
Their schooling, their births, every trip to the emergency room
And left to run wild gangs add to our fear
I say I can’t pay for everything you demand and you say I had “the race”
While the poor kid from Oklahoma can’t afford college
When the kid from Mexico gets into college and funding in his place
Break our laws with your hand out for more
For welfare, for anchor babies, and demanding of jobs
When ever more jobs leave our own shore
How can we be equal when we import poverty and destroy law and order?
How can we afford the burden that they and their children bring?
And ask those who are raped and murdered because we have an open border.
For the black guy who loses his job and the Canadian who waited his turn
And the Chinese told to learn Spanish and the Indians who earned their visas
If we give Mexican illegals amnesty, what is the lesson THEY learn?
It means hospitals and doctors won't get paid for their services, which will perhaps push further calls for sealing the border to illegal immigrants.
I remember flying into Brussels some years ago and had an emergency to see a dentist during a three day weekend. It was a tough day however, they did fix my tooth and, I had to pay the bill.
BTW - Never get your wisdom teeth pulled then go on a flight to Europe.
Is this only in MA?
It is nationwide.
We have another FR semi scoop here. Thanks to tellw!
The Detroit Lions have a better chance of winning the Super Bowl, than this law actually being enforced.
But we will not. We will give the illegals the vote, health care via the emergency room route, free instate tuition, and while we are at it, why not give them low cost housing? It is the Dem plan and as long as the MSM does not point out the incongruity of these plans, the Leftist Dems will benefit not the Pubs. If I were the Pubs, I would take one of the KYL-CORNYN-TANCREDO-HAYWORTH-SENSENBRENNER BILLS AND TRY TO PUSH IT THROUGH WITHOUT HE RINOS AND MOST OF THE DEMS. ENFORCEMENT AND A WALL INCLUDED. It would probably go down in flames but at least the Pubs would have some unity in their defeat.
If they are in the business of making areas healthier places and they don't want to become citizenship enforcement centers, then I'm sure they are free to give their services away.
?
All they have to do is show some proof of citizenship, and then they, as citizens, will not have any barriers at all to enrollment. Only non-citizens will find brriers.
This writer needs to be EDUMACATED about the difference between citizens and non-citizens.
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