Colorado's Omni-Salud program - which allows low-income undocumented Coloradans and Deferred Action for Childhood Arrivals recipients to enroll in affordable health insurance plans with financial assistance - saw a surge in demand at the start of the state's open enrollment period.
Raquel Lane-Arellano - communications manager with the Colorado Immigrant Rights Coalition - said the rush to enroll shows that word is getting out about the program, now in its second year.
"It also shows us that there is such a great need for the program," said Lane-Arellano, "given that the capacity - which is currently at 11,000 for the Silver Enhanced Savings Program insurance plan - filled up in two days, which was absolutely a record."
Lane-Arellano said the strong demand should move lawmakers to expand investments in Omni-Salud - which aims to reduce costs to taxpayers, including expensive emergency room care when patients without insurance can't pay their bill.
Critics say the program forces Colorado taxpayers to subsidize undocumented immigrants' health insurance against their will, and have called it a violation of the Affordable Care Act.
Undocumented Coloradans are also taxpayers, paying nearly $273 million in federal taxes, and $156 million in state and local taxes in 2018.
Lane-Arellano said as the pandemic made very clear, it's important to ensure that everyone - including front line low-wage workers - can access health care.
"Our communities are healthier and stronger when everyone can get the care that they need," said Lane-Arellano. "A lot of the folks who are here have been a part of our communities for decades, paying taxes, working, and contributing to our state and local economies."
Undocumented residents can still enroll for coverage through Omni-Salud. But unlike some other low-wage workers in Colorado, they will have to pay market prices without financial assistance.
Lane-Arellano said she worries that people may put off seeking care if they can't afford insurance, which can lead to a cascade of bad outcomes.
"They're forced to take leave from work," said Lane-Arellano. "They may need to seek emergency services, which costs more. And they may also end up in crushing medical debt due to the severity of the progression of their illness which in a lot of cases is preventable with early treatment."
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Advocates for immigrants are pushing back on a bill signed by Iowa Gov. Kim Reynolds in the last few days of the legislative session, modeled on a recent, controversial Texas law.
Senate File 2340 gives local law enforcement officers and judges the authority to deport undocumented immigrants.
Erica Johnson, executive director of the Iowa Migrant Movement for Justice, argued the bill is an overreach, and said Iowa law enforcement officers are not authorized to enforce it.
"This is a pretty clear intervention into federal territory," Johnson pointed out. "U.S. immigration law is governed by federal law."
Much like the author of the Texas bill, supporters in Iowa blame the Biden administration for failing to slow illegal immigration, so the state has decided to take matters into its own hands.
Johnson contended the bill and other anti-immigrant sentiment during the just-completed legislative session target the very people Iowa, with its dwindling population, will depend on for its future workforce.
"What we need is communities that are safe, where workers have access to dignified, safe workplaces," Johnson emphasized. "The truth of what Iowa's future could be depends on immigrants and immigrant workers in our state, and unfortunately, this law could take us back, away from that possible future. "
Johnson added her organization will pursue legal ways to block the bill from taking effect in July.
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The future of Senate Bill 4 is still tangled in court challenges. It's the Texas law that would allow police to arrest people for illegally crossing the border. But groups are speaking out about the impact of "Operation Lone Star" on the youngest migrants. Governor Greg Abbott continues to bus migrant families to other states, many with young children - more than 100,000 families so far.
Robert Sanborn, CEO of Children at Risk, works to improve the quality of life for boys and girls in Texas, and contends the policy has put trauma on top of trauma.
"We never want children to be political pawns. We don't want maximum chaos on the backs of children. We want children to grow up and be assets for our community," he contended.
Sanborn points out that 2.2 million children in Texas are immigrants, and said it would be less stressful for kids if families were not bused in the middle of the night, and if they were allowed to pick their destination.
When immigrants arrive at the border, they are evaluated to determine if they're eligible for asylum.
Beatriz Zavala, clinical coordinator at El Paso-based Humanitarian Outreach for Migrant Emotional Health, or "HOME," said the children in this situation are at higher risk for mental health disorders.
"What is particularly troubling is the profound disregard for the stability and protection these families need. The impact on their mental health is undeniable. These are not just statistics. These are children, real children," she said.
As part of Operation Lone Star, families have been bused to Chicago, Denver, Los Angeles, New York City, Philadelphia and Washington D.C. The governor has said the practice is needed to keep the Texas-Mexico border safe.
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Legislation in Albany would create the first right to counsel for people in immigration court.
The Access to Representation Act would provide immigrants the right to an attorney in their New York immigration cases, ending the tendency to represent themselves if they cannot afford one.
Estimates show a backlog of more than 330,000 immigration court cases, and fewer than half have attorneys. Studies show without legal counsel, migrants are less likely to remain in the U.S.
Marlene Galaz, director of immigrant rights policy for the New York Immigration Coalition, described what the bill would do.
"It has a six-year ramp-up to start implementing and building infrastructure," Galaz outlined. "Having a pipeline between law schools for law students to go into immigration practice, and getting to nonprofits and so on."
Galaz noted most opposition centers around the $150 million to fund the program but pointed out the total expenditure is less than 1% of the state's $229 billion budget. She added anti-immigrant rhetoric has also damaged support for the bill. Currently, it is in the state Senate Finance Committee.
The New York City Comptroller's office said enacting the bill would benefit the state financially. It could keep about 53,000 people from being deported, which would result in almost $8.5 billion in local, state and federal taxes over the next 30 years.
Galaz emphasized the influx of migrants has saturated the court system, leading to what could have been an avoidable backlog.
"I firmly believe that if these investments had been made when we first asked for them, I believe, like, three years ago, then we wouldn't be struggling," Galaz contended. "We would have had the infrastructure built to address an increase in welcoming our newest neighbors."
A Vera Institute survey showed 93% of New Yorkers across party lines and regions support access to attorneys for all people, including those in immigration court, and government-funded attorneys for them.
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