NEW YORK - Two years after the opening of the Health Exchange, more than 90 percent of New Yorkers have health insurance - but the state's immigrant population is lagging far behind.
Statewide, 17 percent of Latinos still are uninsured, and in Suffolk County, 44 percent of all uninsured individuals are immigrants. One issue has been application materials that primarily are in English.
Andrew Leonard, senior policy associate for the Children's Defense Fund, said another issue is cost.
"For those who either don't qualify for Medicaid because of their immigration status or have earned too much to qualify for Medicaid," he said, "some of the premiums in the private health plans may have been unaffordable."
Last year, online applications were made available in Spanish, and Leonard said the introduction this year of new, low-cost insurance called the Essential Plan should help close the gap.
The children of immigrants also are disproportionately uninsured. All children in the state under age 19, regardless of immigration status, are eligible for free or subsidized health care under the Child Health Plus program. Leonard said making insurance accessible to parents makes a difference for kids, too.
"Our end goal is to make sure that all children and all families are healthy," he said. "So, we want to make sure that that insurance coverage really leads to care, and we know that that's better achieved when parents are also insured."
Some immigrants may fear that enrolling in health insurance through the state could put them at risk.
Leonard said the state's insurance Marketplace doesn't report that information, but some people may need more assurance.
"One of the really important tools in addressing that is the navigator program that the state runs through community-based organizations that are able to communicate that in a more trusted way than maybe a notice from the state could," he said.
According to advocates for the uninsured, reaching out to immigrant communities in their own language and with cultural sensitivity can help eliminate the health insurance gap statewide.
New York State Health Exchange is online at mystateofhealth.ny.gov.
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During last week's Republican National Convention, Sen. Ted Cruz, R-Texas, said Americans are not safe due to immigrants committing violent crimes.
That's just one claim being challenged by leading immigration experts.
Nancy Foner, Ph.D., professor of Sociology at City University of New York's Hunter College, said labeling immigrants as criminals is an old, but persistent, myth.
She pointed to data showing that the vast majority of immigrants are not violent criminals.
"The foreign born, in fact, are much less likely than the native-born to commit violent crimes," said Foner. "And in fact, cities and neighborhoods with greater concentrations of immigrants have much lower crime and violence than comparable non-immigrant neighborhoods."
Immigrants were also blamed for smuggling fentanyl across the 2,000-mile southern border.
But according to the U.S. Department of Homeland Security, 90% of the drugs linked to overdose deaths are smuggled by U.S. citizens through legal ports of entry.
Cruz also said immigrants were being allowed into the U.S. to vote in the upcoming elections - a conspiracy theory about something that never, or almost never, happens.
David Becker, executive director of the Center for Election Innovation & Research, pointed out that non-citizens are not legally allowed to vote in federal elections, and don't in part because they could be immediately deported if caught.
"To cast one ballot in an election in which 160 million ballots are going to be cast, it happens exceedingly rarely," said Becker, "largely because the states and federal government already have really good policies in place."
Others claimed immigrants were "receiving welfare."
Pia Orrenius, vice president and senior economist at the Federal Reserve Bank of Dallas, said immigrants are not eligible for the SNAP program (formerly known as food stamps), Social Security or other benefits - although they do pay payroll and other taxes that fund those programs.
She said immigrants actually strengthen America's economy, but local governments can feel squeezed if immigrants earn low wages.
"That negative impact, it mostly comes from education," said Orrenius. "K-12 education is expensive. The spending on education is an investment. Those investments are going to pay back many times what's invested."
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Leaders at the 5th annual Immigration Summit, which wrapped up in Los Angeles Friday, have vowed to stand strong no matter what happens with the November election.
The Republican candidate for president has called for mass deportations.
Miguel Santana, president and CEO of the California Community Foundation, said it alarms many people in a county where more than one-third of the residents of all ethnicities are foreign-born, and about 60% of children have at least one immigrant parent.
"We've been engaged in scenario planning," Santana explained. "We've prepared our immigrant community so that they know their rights, that we have the proper defense, but also, we're advancing comprehensive immigration reform. That is really what's needed."
The summit was co-sponsored by the California Community Foundation, the Council of Immigrant Inclusion and the Equity Research Institute at the University of Southern California.
Manuel Pastor, director of the institute, said deportations would leave a huge hole in the economy and tear families apart.
"In L.A. County, about a fifth of all Angelenos are either undocumented themselves or living with a family member who is undocumented," Pastor pointed out. "Fear of deportation, problems with accessing services because of status, affect a wide number of families."
Researchers also released the 5th annual State of Immigrants in Los Angeles report, which found naturalizations and wages for immigrants are up over the past few years. It also recommended continued support for county programs providing legal aid and help people access services in their preferred language.
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The Missouri House of Representatives has formed a special committee to look into what the House Speaker refers to as crimes committed by immigrants living illegally in Missouri.
The formation of this committee has sparked a debate between those who see it as a necessary step for public safety and those who view it as a misuse of resources driven by political motives.
House Speaker Dean Plocher - R-St. Louis County - said he's convinced this committee's findings will increase the safety of Missourians.
"The message needs to be," said Plocher, "'If you're not here in the state of Missouri legally, you're going to be detained - and you're going to be deported if you're committing crimes.'"
Data provided by Customs and U.S. Border Protection show last year, there were more than 1,200 violent crimes by committed non-citizens in the U.S. nationwide, and more than 2,000 related to drug trafficking and possession.
The first committee hearing will be in Jefferson City on July 11.
State Rep. David Tyson Smith - D-Columbia - said this isn't an issue in Missouri, and believes the committee is a waste of time and resources. He said it's all being done for political talking points.
"If we are really serious about these issues," said Smith, "we would form a special committee on gun violence to crack down on the shootings that are happening all over our state, that need to be clamped down on."
Studies have repeatedly shown that immigrants - legal and illegal - are more law abiding than people born here.
Research from The Marshall Project has found no correlation between undocumented immigrants and a rise in violent crimes.
However, some committee members believe people living in the U.S. illegally are to blame for an increase in Fentanyl and sex trafficking.
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