States Challenge Biden’s Expansion of Health Insurance for DACA Recipients

In a legal showdown, 15 states led by Kansas are pushing back against the Biden administration’s new rule that extends health insurance benefits to immigrants under the Deferred Action for Childhood Arrivals (DACA) program. The states argue that this rule, implemented by the Department of Health and Human Services in May, breaches federal law by providing public benefits to individuals without legal immigration status.

The controversial rule, effective November 1, classifies DACA participants as “legally present,” thus qualifying them for basic health coverage under the Affordable Care Act. The challengers, however, contend that since DACA recipients lack formal legal status, they should not be considered legally present, thus making the provision of these benefits unlawful.

Kansas and its allies claim that the rule incentivizes illegal residency and places an undue financial burden on states, which are required to support these individuals and their families. Meanwhile, Texas Governor Greg Abbott has ordered state officials to document the costs associated with medical care for undocumented residents, underscoring the financial strain on state resources.

The DACA program, which shields certain immigrants who entered the U.S. as children from deportation and allows them to work, remains a contentious issue as the November 5 presidential election approaches. With Vice President Kamala Harris facing off against former President Donald Trump, who had previously attempted to dismantle DACA, immigration policy continues to stir significant debate. Trump’s campaign has denounced the health insurance expansion as “unfair and unsustainable.”

The legal battle over this rule reflects broader national disputes over immigration and public benefits, highlighting the complex intersections of law, policy, and politics.

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