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The federal Office of Refugee Resettlement is supposed to care for migrant children who arrive in the country alone. But new policies are stranding kids in shelters and undermining their mental health. Some children have chosen to return to the countries they fled.
The Congressional Budget Office estimated 100,000 more immigrants will be uninsured by 2034 because of Medicaid eligibility changes under President Trump’s One Big Beautiful Bill Act that take effect Oct. 1. A KFF Health News survey of nine states found many more are at imminent risk of losing health coverage.
Children in immigrant families are facing health threats from President Donald Trump’s policies: separation from parents detained or deported by Immigration and Customs Enforcement, economic and housing instability, withdrawal from health and nutrition programs, and an overarching environment of fear.
About half of U.S. adults say they can’t afford healthcare. California is among at least eight states that have set spending growth targets for the healthcare sector. It may soon impose enforcement penalties aimed at pushing hospitals and other providers to meet those goals.
An estimated hundreds of thousands of children, many of them U.S. citizens, have been separated from a parent in the Trump administration’s immigration crackdown. Their distress manifests in physical and mental health symptoms including developmental regression, stomachaches, sleep problems, and falling grades. Research points to long-term health consequences.
Moving through the California Senate are two bills, informed by KFF Health News reporting, that would strengthen protections for patients brought to health facilities by Immigration and Customs Enforcement.
A KFF Health News analysis found Medi-Cal lost almost 100,000 immigrants without legal status in the second half of 2025. California officials say it’s not clear if immigrants are losing coverage faster than other populations, but researchers said the most obvious driver is fear of the Trump administration’s immigration policies.
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The administration has largely converted the HHS Office of Refugee Resettlement into an arm of immigration enforcement, detaining children longer while helping immigration officers arrest their parents or other family members. One father was chained when he went to an ICE office to discuss being reunited with his son and daughter.
Some hospitals are registering patients detained by federal immigration officers under pseudonyms and prohibiting staff from contacting family members. Attorneys and health care workers say the practices facilitate rights violations and create ethical concerns. Hospitals say they’re trying to protect patients.
Millions of people gained health coverage under the Affordable Care Act, reducing pressure on counties in states that fund care for the uninsured. With federal policies expected to reverse that trend, county officials wonder how they will fill the gap — and who will pay for it.
Even as President Donald Trump and GOP lawmakers say the One Big Beautiful Bill Act targets waste, fraud, and abuse, Medicaid health plans are hosting events across the U.S. to prevent low-income families from losing health insurance and food benefits next year.
Federal law allows Immigration and Customs Enforcement agents to guard detainees at health care facilities, but patients can ask to speak privately with medical providers and lawyers.
During a California gubernatorial debate, candidates promised to protect people’s access to health care and fight back against Trump administration cuts. With the contest a year away, polling shows voters want the next governor to minimize out-of-pocket health care costs, increase mental health care, and expand caregiving services.
California now has a law requiring hospitals and clinics to improve patient privacy and have clear protocols for handling requests by immigration agents. Legal experts say the state can’t fully protect immigrant patients, because federal authorities are allowed in public places, including hospital lobbies, general waiting areas, and parking lots.
States are taking aim at chemicals and additives in foods as Republicans and Democrats alike embrace at least one aspect of the Trump administration’s “Make America Healthy Again” push. It’s a shift for Republicans, who had vilified past Democratic efforts to impose government will on what people eat and drink.
Immigrants without legal status who live in the state are facing a Medi-Cal enrollment freeze next year. But the spate of immigration raids has raised fears that signing up before the deadline will put them on the radar of federal officials.
Enhanced federal subsidies and more state aid for out-of-pocket costs have made health insurance purchased through California’s marketplace more affordable. It's unclear if the incoming Republican Congress will extend the enhanced subsidies beyond 2025.
With the arrival in California of dengue, a dangerous mosquito-borne disease present mainly in more tropical climates, public health authorities are deploying a range of strategies to beat back the Aedes mosquitoes that spread the virus.
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