Limits on affordable health care for immigrants
Learn how the Budget Reconciliation Act of 2025 (H.R. 1), formerly called The One Big Beautiful Bill Act), limits who can get Medicare, Medicaid, and Obamacare tax credits to only 3 categories of immigrants, and when all other lawfully present immigrants will lose their insurance or credits, even if they’ve been working in the United States for years and paying taxes.
1. Eligible immigrants
On July 4, 2025, Congress passed Budget Reconciliation Act of 2025 (H.R. 1, formerly called the One Big Beautiful Bill Act). The law limits Medicare, Medicaid, and premium tax credits to just 3 categories of immigrants:
- Legal permanent residents (called “green card holders”)
- Cubans and Haitians who entered the U.S. under a family reunification program
- People living under the Compacts of Free Association (citizens of Micronesia, the Marshall Islands, and Palau)