This paper examines federal and state restrictions on immigrants and the negative impact these restrictions have on local efforts to serve the uninsured. It examines a health coverage program offered to low-income residents in Alameda County, California, illustrating local efforts to expand health coverage to both adults and children, regardless of immigration status. After five years of operating the pilot program, leaders have concluded that local health coverage programs are unsustainable over a long period of time without significant federal and state support. Access to this report requires a subscription. After five years of operating the pilot program, leaders have concluded that local health coverage programs are unsustainable over a long period of time without significant federal and state support. Access to this report requires a subscription.
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