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Ideas and Opinions |5 March 2013

Coverage for Undocumented Migrants Becomes More Urgent

Ewout van Ginneken, PhD; Bradford H. Gray, PhD

Article, Author, and Disclosure Information
Author, Article, and Disclosure Information
  • From Berlin University of Technology, Berlin, Germany, and The Urban Institute, Washington, DC.

    Disclaimer: The views presented here are those of the authors and should not be attributed to The Commonwealth Fund or its directors, officers, or staff.

    Grant Support: By The Commonwealth Fund (grant 20110310) to The Urban Institute. Dr. van Ginneken was a recipient of a 2011–12 Commonwealth Fund Harkness Fellowship in Health Care Policy and Practice.

    Potential Conflicts of Interest: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M12-2596.

    Requests for Single Reprints: Ewout van Ginneken, PhD, Berlin University of Technology, Straße des 17, Juni 135, 10623 Berlin, Germany; e-mail, ewout.vanginneken@tu-berlin.de.

    Current Author Addresses: Dr. van Ginneken: Berlin University of Technology, Straße des 17, Juni 135, 10623 Berlin, Germany.

    Dr. Gray: The Urban Institute, 2100 M Street NW, Washington, DC 20037.

    Author Contributions: Conception and design: E. van Ginneken, B. Gray.

    Drafting of the article: E. van Ginneken, B. Gray.

    Final approval of the article: E. van Ginneken, B. Gray.

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The outcome of the presidential election has put immigration reform back on the national agenda. Assuring access to care for undocumented migrants (UDMs) should be prominent in the discussion. Once the coverage expansions of the Patient Protection and Affordable Care Act (ACA) take effect in the states that implement the law's Medicaid provisions, UDMs will be the only large group without coverage. Ironically, some provisions in the ACA will hurt UDMs and the clinicians who provide services to them. We will share some policy options based on experiences from Europe, where provisions to provide access to care for UDMs are in place in some countries.
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van Ginneken E, Gray BH. Coverage for Undocumented Migrants Becomes More Urgent. Ann Intern Med. ;158:347–348. doi: 10.7326/0003-4819-158-5-201303050-00008

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Published: Ann Intern Med. 2013;158(5_Part_1):347-348.

DOI: 10.7326/0003-4819-158-5-201303050-00008

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