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By Anna Challet

 

The safety net for uninsured Californians is full of holes – and those holes are much bigger for the state’s undocumented people.

 

That’s one of the main findings of a new study by the statewide health care advocacy coalition Health Access. The organization’s executive director Anthony Wright says the "uneven safety net" puts the state’s remaining uninsured in a position to “live sicker, die younger, and be one emergency away from financial ruin.”

 

“Counties should maintain strong safety nets for the remaining uninsured, through the county-led programs that provide primary and preventative care,” Wright said on a press call. “Counties that do not serve the undocumented should reconsider this policy, and focus their indigent care programs on the remaining uninsured population that actually has the most need for a safety net.”

 

Over a year into the full implementation of the Affordable Care Act, some 3 million Californians still lack health insurance. For many, that’s because coverage is still unaffordable. And almost half of the 3 million are undocumented, and thus shut out from federal health programs.

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By Fran Kritz

President Obama’s executive action on immigration, announced in November, could potentially come with a much sweeter — and healthier — deal for undocumented immigrants in California than in the rest of the country.

While undocumented immigrants in the U.S. do not qualify for coverage under the Affordable Care Act, California law allows “certain lawfully present immigrants” to be covered by Medi-Cal, the state’s low-income health program. Immigration experts say they expect that provision to apply to the new Deferred Action for Parental Accountability program announced by the president, which allows undocumented people who have a child who is a U.S. citizen or lawful, permanent-resident to apply for a work permit and deportation protection if the applicant has been in the U.S. since Jan. 1, 2010.

Over four million people in the U.S. are likely to qualify for the program beginning in 2015, and over a million of those live in California, according to the National Immigration Law Center in Los Angeles. That means more than a million Californians could be newly eligible for Medi-Cal, if their incomes are low enough to qualify.

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