Medicaid and ACA Coverage Loss for Lawfully Present Immigrants
Key Questions
Which immigrants will lose Medicaid coverage on October 1?
Lawfully present immigrants including refugees and asylees without LPR status will lose coverage under the new federal law.
How many people are expected to lose coverage nationally?
An estimated 1.4 million immigrants could lose Medicaid by 2034, with 450,000 affected in New York alone.
What separate change affects ACA marketplace coverage?
A new federal health law could strip 450,000 immigrants and DACA recipients of ACA coverage, though details remain unclear.
Lawfully present immigrants (refugees, asylees without LPR status) will lose Medicaid coverage on October 1 under a new federal law. Numbers: 450,000 in NY, 1.4M nationally by 2034. Urgent—three months to prepare. Additionally, a separate federal health law could strip 450,000 immigrants and DACA recipients of ACA marketplace coverage; details still unknown.
Sources (2)
Updated Jul 13, 2026