![]() Reflecting this more limited access and use, immigrants have lower health care expenditures than their U.S.-born counterparts. 20%), and going without needed medical care in the past 12 months due to its cost (10% vs. 20%), not having had a doctor’s visit in the past 12 months (32% vs. Among nonelderly adults, noncitizens are significantly more likely than citizens to report not having a usual source of care (33% vs. Reflecting their higher uninsured rates, noncitizen immigrants face increased barriers to accessing health care and use less health care than citizens. Those who are eligible for coverage also face a range of enrollment barriers including fear, confusion, and language and literacy challenges. Noncitizens are more likely to be uninsured than citizens because they have more limited access to private coverage due to working in jobs that are less likely to provide health benefits and they face eligibility restrictions for public coverage options, including Medicaid, the Children’s Health Insurance Program (CHIP), and Marketplace coverage. Among citizen children, those with at least one noncitizen parent were twice as likely to be uninsured as those with citizen parents (8% vs. In 2021, among the nonelderly population, one in four (25%) lawfully present immigrants and almost half (46%) of undocumented immigrants were uninsured compared to less than one in ten (8%) citizens. Noncitizens are significantly more likely than citizens to be uninsured. One in four children has an immigrant parent, including over one in ten (12%) who are citizen children with at least one noncitizen parent. Many individuals live in mixed immigration status families that may include lawfully present immigrants, undocumented immigrants, and/or citizens. Noncitizens include lawfully present and undocumented immigrants. In 2021, there were 20.8 million noncitizens in the United States, accounting for about 6% of the total U.S. ![]() Note: This content was updated on Mato incorporate newly available data.
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