National Immigration Law Center
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ACA & Mixed-Status Families


OCTOBER 2013  |  Download Adobe PDF icon


The Affordable Care Act & Mixed-Status Families

Answers to frequently asked questions about mixed–immigration status families’ access to ACA programs. This 7-page FAQ explains, for example, who is eligible for coverage in the health insurance marketplaces created by the ACA, and who in a mixed-status family is an “applicant” and who a “nonapplicant.” And it lists six “Key points to remember about mixed-status families.”

To download this FAQ, click here or on the PDF icon (above).

Here are the specific questions answered in this FAQ:

  • What is a mixed-status family?
  • Who is eligible for coverage in the health insurance marketplaces created by the Affordable Care Act?
  • Who is eligible for Medicaid or the Children’s Health Insurance Program (CHIP)?
  • Can an eligible member of a mixed-status family apply for Medicaid, CHIP, or private health insurance in the health insurance marketplace?
  • Who is an “applicant,” and what information must be provided about this person on an application for health insurance?
  • How is an applicant’s citizenship or immigration status verified?
  • What if an applicant is lawfully present but does not have an Social Security number?
  • What are ITINs? (ITIN = Individual Taxpayer Identification Number)
  • Who is a “nonapplicant”?
  • Is a nonapplicant required to tell his or her citizenship or immigration status?
  • Does a nonapplicant need to provide a Social Security number or income information?
  • Do mixed-status families have to file tax returns because of the ACA?
  • Are mixed-status families subject to the individual mandate?
  • How will an undocumented member of a mixed-status family claim the exemption?
  • How does the ACA protect the confidentiality of information provided on health insurance applications?
  • May U.S. Citizenship and Immigration Services consider a person’s participation in ACA programs when determining if he or she is likely to become a “public charge,” when the person applies for lawful permanent resident (LPR) status?