Immigration and Health Care: Legislation on the Table...
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However, reading the legislation as a whole, its glaring omission is any requirement to verify someone's immigration or citizenship status. For instance, H.R. 3200 makes no reference to the verification system in current law that's used for nearly all government welfare and other public programs. If lawmakers wanted enrolling agents, including bureaucrats at the new Health Choices Administration, to use the Systematic Alienage Verification for Entitlements (SAVE) system, the bill should include a reference and authorize SAVE's application to this government program.
In other words, the silence of H.R. 3200 regarding SAVE and mandatory verification makes Section 246 just empty words. In fact, the Ways and Means Committee outright voted down an amendment by Rep. Dean Heller to require eligibility verification before qualifying someone to receive a taxpayer subsidy. Also, "lawfully present" covers a lot of ground. Does it include someone here under Temporary Protected Status, for instance? Again, the absence of eligibility verification requirements leaves open a lot of room for waste, fraud, and abuse.
A similar situation of setting up blinders occurs in H.R. 3200's Medicaid provisions. Division B's Title VII, Section 1701 expands Medicaid eligibility to those with incomes a third above the federal poverty level. This provision dictates that "the State shall accept without further determination the enrollment under this title of an individual determined by the Commissioner to be a non-traditional Medicaid eligible individual.presumptive eligibility" concerning Medicaid expansion. Read it for yourself, right from Section 1702(a):.............."

