Court upholds Trump’s “public charge” proclamation requiring healthcare coverage

Court upholds Trump’s “public charge” proclamation requiring healthcare coverage

On December 31, 2020, the 9th circuit court of appeal struck down a nationwide injunction by a lower District Court, ruling that Pres. Trump’s proclamation banning the issuance of immigrant visas to those who cannot obtain private insurance or demonstrate the funds to self-insure, was lawful. This means that before an immigrant visa can be issued, the person must either obtain private insurance or show they have enough money to pay for care. The reasoning for the proclamation was that having uninsured immigrants come to the US burdens our healthcare system.

By way of background, on October 4, 2019, Pres. Trump issued a proclamation requiring people immigrating from outside the U.S. to demonstrate either (1) they will acquire healthcare coverage within 30 days of entry; or (2) have the ability to pay for reasonably foreseeable healthcare expenses.

Trump had maintained that intending immigrants who lacked approved healthcare insurance or the financial resources to pay for their medical costs, would be a burden on US taxpayers and our healthcare system, especially those using hospitals’ emergency rooms for a variety of non-emergency conditions, causing overcrowding and delays for those who truly need emergency services. Allowing thousands of aliens to immigrate who could not demonstrate their ability to pay for their health care costs just made the problem worse.

A lawsuit was filed, and a lower District Court issued an injunction, halting this proclamation from taking effect. But the Ninth Circuit upheld the president’s authority to issue this proclamation, stating that, “We conclude that the Proclamation was within the President’s statutory authority and therefore reverse the district court’s order enjoining the Proclamation’s implementation.”

What this will mean is that, in addition to all other “public charge” requirements, most people seeking an immigrant visa from outside the US will need to show they can obtain private health insurance or have enough money to pay for their health care expenses, and will not rely on taxpayers to pay for their medical expenses and care. If they cannot do so, a consul could refuse to issue their visa.

The Proclamation does list several healthcare plans that would qualify as “approved health insurance,” including an employer-sponsored plan, and unsubsidized health plan offered in the individual market within a state, a catastrophic plan, a family member’s plan, a medical plan under the Medicare program, or any other health plan that provides adequate coverage for medical care as determined by the Secretary of Health and Human Services.

It remains to be seen how this proclamation will be implemented and applied at the Embassies, and we will continue to monitor this developing situation and keep you informed.

But with all of these rapid changes to immigration law, policies, and requirements, I would recommend that you seek the assistance of an attorney, who can help you navigate your way through these new requirements and greatly increase your chances for success.


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Your immigration case (and your future in America) are not something where you should try to cut corners or save money by trying to do it yourself.  Pres. Trump has made obtaining immigration benefits much more difficult and riskier, such that legal representation could greatly increase your chances for success.