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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From construction and hospitality to business creation and consumer spending, a new report shows the oversized contributions immigrants are making to the labor force in New Mexico. The report shows that immigrants to Santa Fe County made up more than one in seven workers in 2019.

Asma Esa, manager of state and local initiatives with the American Immigration Council, explained their contributions cannot be overvalued in creating the area's vibrancy.

"Even though immigrants made up 11.1% of the county's total population, they actually made up 15% of its employed labor force, as well as 15.2% of the working-age population," Esa said.

The report, released by the American Immigration Council, also shows immigrants in Santa Fe County paid more than $122 million in taxes and held over $365 million in spending power in 2019.

Marcela Diaz, executive director of Somos Un Pueblo Unido - a statewide group founded in 1995 to promote worker and racial justice, said Santa Fe, like other cities, has an aging workforce and needs to employ and recruit younger workers - while also figuring out how to maximize the contributions of immigrants.

"And to be fully integrated into the city's economic development plans - we want to have more access to workforce development opportunities, and really be a part of the city's long-term vision, Diaz said.

According to the report, the 16,000 immigrants living in Santa Fe County in 2019 mostly arrived from Mexico, Central America and the Caribbean. Roughly 93% reported they had lived in the United States for more than five years.


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A new survey found immigrant students need better help in school.

The YouthTruth, Re-Imagining Migration survey was designed to examine the perspective of immigrant students as to how they are doing in school. The survey showed immigrant students do not feel they can be themselves there. There were also middling scores when asked if they feel like part of their school's community.

Adam Strom, executive director of the nonprofit Re-Imagining Migration, described the importance of an immigrant student's native language to their education.

"If you're in a school where folks are encouraging you to speak your own home language when appropriate, your school experience is much better," Strom asserted. "You have a much stronger sense of belonging. You have a much stronger sense that your peers like you. You see yourself in textbooks more, you see yourself in the classroom more and what's being taught."

He noted if schools take the opposite approach, it can increase a students' sense of isolation. While there has been more attention paid to immigrant student's mental health, cultural and attitudinal barriers like stigma were a factor. Strom argued schools being more inclusive of immigrant students and their families can improve their education.

Though there are ways to ensure immigrant students feel included, there are some challenges to making the strategies work. Along with anti-immigrant sentiments flooding the country, teacher shortages mean educators cannot be one-on-one with their students.

Jimmy Simpson Jr., director of partnerships for YouthTruth, said another factor is immigrant students are more than immigrants.

"Thinking that there are migrant students also part of the LGBTQ community, Black immigrant students or brown, BIPOC immigrant students," Simpson outlined. "They have very different types of experiences than a migrant student who may be white."

Simpson added seeing people beyond just being immigrants goes a long way to creating a welcoming environment for immigrant students in schools.

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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