Drishti Pillai, PhD, MPH

Rolling Back the Big Beautiful Bill’s Health Care Provisions Would Not Provide Health Care to Undocumented Immigrants Undocumented immigrants are not eligible for federally funded health coverage. The GOP’s Big Beautiful Bill didn’t change that. Overturning the health care provisions in the law won’t either.

H.R.1 ends health coverage eligibility for many lawfully present immigrants. It doesn't change health coverage options for undocumented immigrants who are already ineligible for federally funded health coverage under longstanding policy. More on this @kff.org : www.kff.org/quick-take/r...

Hi Rachel, I don't think I'm able to message you here due to some privacy settings. Please feel free to reach out to me at drishtip@kff.org to discuss further!

KFF graphic featuring a quote from Drishti Pillai, KFF Associate Director, Racial Equity & Health Policy; Director, Immigrant Health Policy. It says, “Undocumented immigrants are not eligible for federally funded health coverage. The GOP’s Big Beautiful Bill didn’t change that. Overturning the health care provisions in the law won’t either.”

⚡ KFF’s Drishti Pillai explains that despite claims in Washington, rolling back “Big Beautiful Bill” health provisions wouldn’t provide federally funded coverage to undocumented immigrants — as they long haven’t been eligible under federal law. #QuickTake https://on.kff.org/46wj9SM

Rolling Back the Big Beautiful Bill’s Health Care Provisions Would Not Provide Health Care to Undocumented Immigrants Undocumented immigrants are not eligible for federally funded health coverage. The GOP’s Big Beautiful Bill didn’t change that. Overturning the health care provisions in the law won’t either.

H.R.1 ends health coverage eligibility for many lawfully present immigrants. It doesn't change health coverage options for undocumented immigrants who are already ineligible for federally funded health coverage under longstanding policy. More on this @kff.org : www.kff.org/quick-take/r...

It's striking that the primary Republican talking point against the Democratic proposal to restore Medicaid and ACA cuts is that it would give health care to undocumented immigrants, which isn't true. There isn't a broader defense of the cuts.

Spending on Emergency Medicaid accounted for less than 1% of overall Medicaid spending in FY 2023 www.kff.org/racial-equit...
Research also shows that noncitizens are less likely to use ER care than U.S.-born citizens pmc.ncbi.nlm.nih.gov/articles/PMC...

@kff.org

Undocumented immigrants, under longstanding policy, have been and continue to be ineligible for federally funded health coverage. Medicaid, ACA, and Medicare eligibility cuts in H.R. 1 apply to lawfully present immigrants.

Undocumented immigrants, under longstanding policy, have been and continue to be ineligible for federally funded health coverage. Medicaid, ACA, and Medicare eligibility cuts in H.R. 1 apply to lawfully present immigrants.

ACA Marketplace Premium Payments Would More than Double on Average Next Year if Enhanced Premium Tax Credits Expire | KFF KFF estimates that, if Congress allows the enhanced premium tax credits to expire at the end of this year, ACA Marketplace enrollees on average would see their premium payments more than double next y...

KFF has updated its estimate of how much failure to extend the enhanced ACA credits will cost the average enrollee from 75% to 114% 1/
www.kff.org/affordable-c...

Groups of lawfully present immigrants who will no longer be eligible for federal health coverage under 2025 tax and budget law

Provisions in H.R. 1 will end health coverage eligibility for many lawfully present immigrants, leading to 1.4 million more uninsured as of 2034 per the CBO. Undocumented immigrants are already ineligible for federally funded health coverage and thereby not impacted directly by the new law @kff.org

ACA Marketplace Premium Payments Would More than Double on Average Next Year if Enhanced Premium Tax Credits Expire | KFF KFF estimates that, if Congress allows the enhanced premium tax credits to expire at the end of this year, ACA Marketplace enrollees on average would see their premium payments more than double next y...

New, and a big deal: Based on updated data and changes made by the Trump administration, we now estimate that ACA enrollees would see their out-of-pocket premiums increase by 114% if enhanced premium tax credits are allowed to expire.
www.kff.org/affordable-c...

Groups of immigrants expected to lose health coverage under the tax and budget law

According to estimates by the CBO, 1.4 million lawfully present immigrants are expected to lose health coverage due to the reconciliation bill by 2034.
This includes refugees, asylees, survivors of abuse, people on work visas, individuals with TPS, among others @kff.org

www.kff.org/immigrant-he...

The Virginia Department of Health has issued a standing order so that people can get the COVID vaccine without a prescription.

You can print out the order here: www.vdh.virginia.gov/content/uplo...

The Trump administration announces it is making "affordable" ACA plans available to certain groups of people, including those who lose eligibility for tax credits slated to expire at the end of the year.

These plans have lower premiums, but deductibles of over $10,000.
www.cms.gov/newsroom/pre...

Immigrants play an outsized role as physicians and surgeons across the U.S., including in rural areas. Significant drops in the arrival of international students at U.S. universities could negatively impact the health care workforce in the long run, both overall and in rural areas. @kff.org

The Problem Isn’t Trust in Vaccines, It’s That People Don’t Know Who to Trust In a new “Beyond the Data” column, KFF’s President and CEO Dr. Drew Altman analyzes years of KFF polling on vaccines in light of the current controversies about them. The real problem, he says, is not...

Just 16% of the public say mRNA vaccines are unsafe. Even 59% of MAGA supporters say they “don’t know enough to say.”

Confusion, not trust, is the vaccine issue. on.kff.org/3HlGRaF

"police are operating under the theory that he (suspected shooter) was either sick or believed that he was sick and blamed the illness on the Covid-19 vaccine"

My heart goes out to my wonderful Emory community 😢💙💛

Bar chart showing trust in health information and advice across social media platforms

NEW from @kff.org: Just over half (55%) of adults say they use social media to find health info + advice, including larger shares of younger, Black, and Hispanic adults. But across all social media platforms, a majority of users say they don’t trust the health info they see.

New @kff.org resource lets you search for implementation dates for health coverage provisions in the recently passed budget reconciliation bill and filter by key topics and groups such as provisions directly related to immigrant eligibility for health coverage programs.

www.kff.org/implementati...

I had such a wonderful time attending and presenting at the NALEO annual conference in Atlanta! I got to share @kff.org data on key issues impacting Hispanic immigrants in the U.S. and also learn from other experts and community leaders about their areas of expertise and focus.

What Role Do Immigrants Play in the Rural Workforce? | KFF This data note examines the role that immigrants play in the rural workforce, particularly in industries disproportionately filled by immigrants, including health care, agriculture, construction, and ...

New analysis by @kff.org finds that immigrants make up 3X the share of physicians and surgeons in rural America than their share of the rural population/total workforce (14% vs. 5%). They also play outsized roles in agriculture, construction, and service occupations.
www.kff.org/racial-equit...

Corporation for Public Broadcasting says it's shutting down The Corporation for Public Broadcasting, which funnels federal money to public media stations, says it's winding down operations after President Trump signed a law rescinding all funding.

"The Corporation for Public Broadcasting, the conduit for federal funds to NPR and PBS, announced on Friday that it is beginning to wind down its operations given President Trump has signed a law clawing back $1.1 billion in funding for public broadcasting..."

www.npr.org/2025/08/01/n...

Trump administration hands over Medicaid recipients' personal data, including addresses, to ICE U.S. Immigration and Customs Enforcement officials will gain access to personally identifiable information for all of the nation’s 79 million Medicaid enrollees.

News report about Trump administration sharing Medicaid enrollees' confidential data with ICE: apnews.com/article/immi...

What Privacy and Protection Standards are in Place for Medicaid Enrollees’ Personal Data?  | KFF This policy watch discusses the data privacy protections in Medicaid and the implications of breaches or violations of those protections.

News reports suggest that the Trump administration has shared confidential data of Medicaid enrollees such as SSNs and race/ethnicity information with ICE for immigration enforcement despite federal and state laws prohibiting this type of data sharing. More from @kff.org www.kff.org/policy-watch...

Recent State Actions Impacting Immigrants’ Access to State-Funded Health Coverage and Other Public Programs | KFF This policy watch summarizes recent proposed actions by states related to state-funded health coverage for immigrants and trends in other legislation enacted during the 2025 session that have implicat...

Against a backdrop of restrictive immigration policies at the federal level, several states in '25 have taken actions to also restrict immigrants' access to health and other social services while others have worked to expand access and protections.

More from @kff.org : www.kff.org/policy-watch...

The ACA was not popular when it passed (remember death panels), but it was more popular than the “ OBBB” is today.

Yes, it's from this HHS press release: www.hhs.gov/press-room/p...

Yesterday, HHS revised its list of federal programs that many immigrants will be ineligible for to include community health centers. CHCs are a vital source of care for many immigrants; especially among those who are uninsured/on Medicaid, are Hispanic, may be undocumented, or have LEP
@kff.org

What Privacy and Protection Standards are in Place for Medicaid Enrollees’ Personal Data?