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USCISRulemakingUSCIS-2010-0012

Inadmissibility on Public Charge Grounds

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American Medical Association filed 1 comment on this docket between Feb 5, 2019 and Feb 5, 2019. 733 other organizations filed here. The comment window closed 2787d ago.

What American Medical Association filed (1)

Feb 5, 2019· Comment Submitted by Drayton Harvey, Keck American Medical Association· USCIS-2010-0012-38232

The Keck School of Medicine of the University of Southern California's chapter of the American Medical Association is vehemently opposed to the proposed changes to the criteria for qualification as a public charge. We stand in solidarity with the California Medical Association and the American Medical Association, which are both also in opposition to these changes. As future healthcare providers we are concerned for the health of both our documented patients and undocumented patients. The chilling effect on use of the extended programs, Medicare Part D, emergency Medicaid, SNAP, CHIP, and ACA subsidies, will not only result in undocumented individuals not utilizing these surfaces, but also documented immigrants who fear they will be targeted in these programs as well. In addition to worsening the health of our patients, which will increase the cost to our healthcare system, the resulting reduction in utilization of healthcare and food assistance services will cause massive economic harm. The UCLA Center for Health Policy Research used IMPLAN, an industry-standard input-output economic modeling software package, and determined that 7,600 to 17,700 jobs will be lost (the majority in healthcare and food related industries), $1.2 to $2.8 billion will be lost in economic output, and $65 to $151 million will be lost in state and local tax revenue for the state of California alone if these changes are implemented. We hope you will decide to not make these changes to the determination of who is a public charge for the good of our healthcare system, our economy, and for our country.

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Abstract

The U.S. Department of Homeland Security (DHS) proposes to prescribe how it determines whether an alien is inadmissible to the United States under section 212(a)(4) of the Immigration and Nationality Act (INA) because he or she is likely at any time to become a public charge. Aliens who seek adjustment of status or a visa, or who are applicants for admission, must establish that they are not likely at any time to become a public charge, unless Congress has expressly exempted them from this ground of inadmissibility or has otherwise permitted them to seek a waiver of inadmissibility. Moreover, DHS proposes to require all aliens seeking an extension of stay or change of status to demonstrate that they have not received, are not currently receiving, nor are likely to receive, public benefits as defined in the proposed rule.

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