About 'nj familycare'|Corzine's Health Care Plan
Non-citizens, including all persons residing in the United States who are legal permanent residents, asylees, refugees, or temporary residents, as well as undocumented immigrants, are over-represented in the uninsured population in the United States and are more likely to face health disparities. Non-citizens comprise seven percent of the general population but are 21 percent of the uninsured in the United States. Weathers found in her study of the impact of immigration status on health access that there was a positive relationship between lack of citizenship and poor access to health care. That is, non-citizen children were less likely to be able to access care. Similarly, Guendelman found that "foreign-born children in working poor families had lower access and health care use than did their U.S.-born counterparts, uninsured children were worse off than insured children, and uninsured foreign-born children faced the worst access to health care." In addition to the challenges faced by all Americans, especially those in lower income households, immigrants face some unique challenges. Immigrants are more likely to work in fields that do not provide insurance coverage, to face restrictions on their ability to qualify for public insurance programs, and to live in neighborhoods with less access to medical services. Immigrants in New Jersey are more likely to be without health insurance than the native-born population. While 12.9 percent of the total native-born population in the State is uninsured, 35 percent of foreign-born residents are uninsured. In New Jersey, 11 percent of children are uninsured. In 2004, approximately 51,835 children were enrolled in the NJ SCHIP program (approximately 2.3 percent of the population): of these 51,835 children, 24.5 percent were identified as white, 49.9 percent as black, and 10.2 percent Asian. Twenty-seven percent resided in households whose income was below the federal poverty level, and 66.1 percent were at 133 percent or higher of the federal poverty level. The SCHIP Program in New Jersey is administered through the NJ FamilyCare program. This program offers free or reduced cost health coverage to children in households earning up to 200 percent of the federal poverty level. It covers health services for children including regular doctor visits, hospital costs, prescriptions, and dental care. New Jersey FamilyCare is available to "qualified immigrants," including permanent residents, refugees, asylees, and immigrants in a number of other categories. Immigrants do not have to wait five years after arriving to the United States to be eligible for FamilyCare in New Jersey. The original authorization for SCHIP required that legal permanent residents not be eligible for Medicaid or SCHIP for their first five years in the United States; however, New Jersey and over 20 other states use state funding to extend SCHIP benefits to this category of immigrants. Immigrants who utilize the FamilyCare Program in New Jerseywill not be considered a "public charge" by the US Citizenship and Immigration Services (USCIS) for accessing services. The USCIS defines public charge as "an alien who has become (for deportation purposes) or is likely to become (for admission or adjustment of status purposes) 'primarily dependent on the government for subsistence, as demonstrated by either the receipt of public cash assistance for income maintenance, or institutionalization for long-term care at government expense.'" According the USCIS, non-cash benefits such as SCHIP are not to be considered as public charge; however, there is a great deal of confusion and mistrust in immigrant communities regarding questions of public charge. Resources U.S. Department of Health and Human Services Office of the Assistant Secretary for Planning and Evaluation, "Overview of the Uninsured in the United States: An Analysis of the 2005 Current Population Survey," http://aspe.hhs.gov/health/reports/05/uninsured-cps/index.htm Weathers et al., "The Effect of Parental Immigration Authorization in Health Insurance Coverage for Migrant Latino Children," Journal of Immigrant Minority Health 10 (2008): 250. Guendelman et al., "Unfriendly shores: how immigrant children fare in the US Health System," Health Affairs 1 (2001): 264. Grantmakers in Health, For the Benefit of All: Ensuring Immigrant Health and Well-Being (Charlotte, NC, 2005), 13. New Jersey Center for Health Statistics, www.state.nj.us/health/chs/hic0104/hic0104.pdf. NJ Family Care, www.njfamilycare.org. Kaiser Commission on Medicaid and the Uninsured, "Medicaid and SCHIP Eligibility for Immigrants," http://www.kff.org/medicaid/upload/7492.pdf. United States Citizenship and Immigration Services, "Fact Sheet," http://www.uscis.gov/files/article/public_cfs.pdf |
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