A major aspect of this requirement to give high attention to is that under the executive’s new policy, purchasing health insurance using subsidies such as on the Affordable Care Act/Medicaid program do not count as an eligible form of insurance to meet the burden. This rule creates a “Catch-22” dilemma for low-income immigrants because although they’re eligible for subsidized health covered through the program, applying for the health coverage means they cannot legally be in the country. The Administration describes this as an additional step to safeguard the healthcare system from free-riding.
The new policy will apply to thousands of people seeking to immigrate to the US as the proclamation seems to cover the majority of visa categories across the board. Parents and spouses of US citizens and immediate family members of lawful permanent residents are subject to the policy; however, there are few exceptions where the requirement will not be applied such as noncitizen children of US citizens, refugees, and immigrants who have won asylum.