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Major Legislative Milestones in US Immigration History - New York ...

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APPENDIX IIAccess to Health Careafter <strong>Immigration</strong> Reform:Lessons from <strong>New</strong> <strong>York</strong>ADAM GURVITCH<strong>Immigration</strong> reform could affect millions of American workers, public andprivate health care providers, <strong>in</strong>surers, and public health. Among otherth<strong>in</strong>gs, reform could create new categories of temporary workers, <strong>in</strong>crease thenumber of lawful permanent residents, and change the treatment of unauthorizedresidents. This appendix focuses on access to health care and presents theauthor’s practical considerations for policymakers who must plan for the consequencesof reforms at state and local levels. Examples from the state of <strong>New</strong><strong>York</strong> are used to illustrate how options for immigrants’ health care access mightbe implemented.Guid<strong>in</strong>g Pr<strong>in</strong>ciplesWhatever approach is chosen to provide health care access for participants <strong>in</strong>an immigration reform program, the follow<strong>in</strong>g pr<strong>in</strong>ciples should guide reform: Do not add to the ranks of the un<strong>in</strong>sured. Favor the simplest, least costly adm<strong>in</strong>istrative structures. Consider the <strong>in</strong>terests of both healthy <strong>in</strong>dividuals and those who havemedical needs. Do not weaken employer-based health <strong>in</strong>surance coverage. Strengthen the health care safety net for everyone <strong>in</strong> the community.A ppendix II 167

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