"Illegal Immigrants" in RI Could Get Insurance Under New Bill, Say Leaders

Kate Nagle, GoLocal Contributor

"Illegal Immigrants" in RI Could Get Insurance Under New Bill, Say Leaders

New legislation introduced in the Rhode Island General Assembly would allow "illegal immigrants" to obtain healthcare coverage, according to the House GOP and activists in the state -- and while the bill sponsors say it's in accordance with federal law, opponents are questioning its purpose.  

House Bill 5988, which was introduced by Representative Jeremiah O'Grady for the Office of the Health Insurance Commissioner for the state to more fully comply with with Affordable Care Act included language that stipulates "eligible individuals" would be "residents of the state."

Terry Gorman, with the Rhode Islanders for Immigration Law Enforcement, reached out to the House policy analysts on the blanket eligibility terminology.

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"I talked with Richard Fleury about this interpretation. His answer is, that as written, it would include anyone who is a resident of the state - which could include illegal immigrants," said Louis Tetreault, a senior policy analyst in the House Minority Office. 

Legislation - and Questions

Introduced by Representative O' Grady on March 26, the bill was referred to the House Corporations Committee, and held for further study.

Tarah Provencal, the Associate Director for Planning, Policy, and Regulation in the Office of the Health Insurance Commissioner, explained its intent -- including the eligibility language change.  

"Proposed House bill 5988 is intended to amend Rhode Island's current laws on Individual, Small Group and Large Group insurance coverage to comply with the market rule requirements of the Affordable Care Act," said Provencal.

"The definition of "eligible individuals" means an individual resident of Rhode Island.  The legislation is intended to comply with federal law and federal law does not require a citizenship test for the purchase of policies sold outside of the Exchange (45 C.F.R. section 147.104(a)).  No public funds are involved in the purchase of health insurance outside of the Exchange," continued Provencal. "The purchase of health insurance off the Exchange is a private market purchase similar to many other purchases of goods and services which both citizens and non-citizens may purchase."

"How many illegal immigrants are going to purchase insurance off the exchange -- what's the exchange for?  Isn't it for people who don't have insurance - period? This raises more questions than answers," said Gorman.  "Why did they have to change the language about eligible individuals.   It would have been fine to say 'eligible individuals' as-is, which is to say illegal immigrants would have been ineligible for coverage under exchanges under the ACA," said Gorman.  

Gorman said he was concerned about what he perceived to be the confusion around the process -- and transparency.

"I called up the members of the [Corporations] committee to ask them about this eligibility clause, and they weren't able to answer my questions," said Gorman.  "So what they're saying is they're looking to a technicality that people don't have to prove citizenship when purchasing private insurance.  Is this a slippery slope to provide coverage through the exchange and that means that taxpayers would subsidize illegal immigrants."

"This is reminiscent of 38 Studios," continued Gorman.  "Remember how all the legislators said they didn't know what they were voting on for 38 Studios?  What if this comes up at the eleventh hour?  How many legislators know anything about this?"

Pam Gencarella with Rhode Island taxpayer group OSTPA raised concerns as well. 

"We fully believe that the drafting of the legislation, which was purportedly requested by the Office of the Health Insurance Commissioner, is clearly intended to change the eligibility requirements for an individual, opening the door very specifically to all “residents” of the state regardless of their legal status.  This change is very broad and certainly looks as if it is a requirement for insurers offering individual coverage to provide coverage to illegal immigrant," said Gencarella 

"This bill is drafted very poorly if in fact it is not meant to provide health insurance to people who are not in the country legally. It also begs another question: does this lead to taxpayer subsidized insurance coverage via RI's Health Insurance Exchange or Medicaid for anyone who is not here legally? We know RI’s elected leaders have ignored the impact of being a sanctuary state and some of our leaders actually support providing myriad benefits to illegal immigrants," continued Gencarella. 

"Look at the explanation provided on the bill. It refers only to moving responsibilities from one state department to another and to bring RI law into conformity with the Affordable Care Act (Obamacare). It is not unusual for the legislative explanation to be misleading regarding the actual impact of any bill that it seeks to explain in short form. And this bill's explanation is a good example of this shortfall," said Gencarella. "The sponsors owe all taxpayers a straight answer."


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