Documentation requirements are extremely burdensome to lowincome families who often lack the resources to pay for that documentation. In Alabama. Kansas and Virginia. Medicaid enrollment declined by a larger percentage among white and black children than among Latino children who were U.S. citizens. The Inspector General at the Department of Health and Human Services and the past administrator of CMS concurred that there is no substantial evidence that undocumented immigrants are committing fraud in order to receive Medicaid. Citizenship documentation. as implemented. is a flawed policy based on inaccurate assumptions that adversely affect our childrens health. I urge my colleagues to allow that we enforce a good SCHIP program.
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immigrants undocumented