Getting and Keeping Coverage: States' Experience with Citizenship Documentation Rules

Getting and Keeping Coverage: States' Experience with Citizenship Documentation Rules

Federal regulations that took effect in 2006 require individuals to provide proof of citizenship when applying for or renewing coverage under public health insurance options such as Medicaid. A new report from the Commonwealth Fund, Getting and Keeping Coverage: States' Experience With Citizenship Documentation Rules (31 pages, PDF), examines the impact citizenship documentation rules have had on coverage through public programs in Alaska, Arizona, Kansas, Louisiana, Ohio, Virginia, and Washington. Among other things, the report finds that the rules have increased the complexity, administrative burden, and costs of enrollment and renewal in each state, making it more difficult for children and families to obtain and keep coverage.