{
 "_meta": {
  "built_on": "2026-07-23",
  "source": "MigrantUSA curated policy list, cross-checked against KFF and NILC",
  "kff_source": "KFF, State Health Coverage for Immigrants and Implications for Health Coverage and Care (per-state lists as of April 2026; page updated June 11, 2026)",
  "kff_source_url": "https://www.kff.org/racial-equity-and-health-policy/state-health-coverage-for-immigrants-and-implications-for-health-coverage-and-care/",
  "nilc_source": "NILC, Medical Assistance Programs for Immigrants in Various States (table, March 2026)",
  "nilc_source_url": "https://www.nilc.org/resources/medical-assistance-various-states/",
  "universal_floor": "Two things exist in every state regardless of immigration status and are NOT what this table measures: Emergency Medicaid (hospitals treat and are paid for emergency conditions regardless of status) and community health centers (FQHCs), which treat patients regardless of status or ability to pay.",
  "method": "Whether each of the 50 states and DC provides state-funded comprehensive health coverage to income-eligible residents regardless of immigration status, as of April 2026, in three columns: children, adults (with each program's enrollment status -- open, frozen, paused, or capped), and prenatal care regardless of the pregnant person's status (CHIP unborn-child option or state funds, per NILC). Compiled from the KFF per-state lists (as of April 2026) and the NILC table (March 2026), which agree on the state lists; per-state details come from whichever source states them. Income limits, age bands and enrollment caps change with state budgets -- confirm current rules with the state's health agency before relying on them. General information, not legal advice."
 },
 "summary": {
  "jurisdictions": 51,
  "children_count": 15,
  "adults_count": 7,
  "adults_open_count": 2,
  "prenatal_count": 26,
  "children_states": [
   {
    "state": "California",
    "abbr": "CA"
   },
   {
    "state": "Colorado",
    "abbr": "CO"
   },
   {
    "state": "Connecticut",
    "abbr": "CT"
   },
   {
    "state": "District of Columbia",
    "abbr": "DC"
   },
   {
    "state": "Illinois",
    "abbr": "IL"
   },
   {
    "state": "Maine",
    "abbr": "ME"
   },
   {
    "state": "Massachusetts",
    "abbr": "MA"
   },
   {
    "state": "Minnesota",
    "abbr": "MN"
   },
   {
    "state": "New Jersey",
    "abbr": "NJ"
   },
   {
    "state": "New York",
    "abbr": "NY"
   },
   {
    "state": "Oregon",
    "abbr": "OR"
   },
   {
    "state": "Rhode Island",
    "abbr": "RI"
   },
   {
    "state": "Utah",
    "abbr": "UT"
   },
   {
    "state": "Vermont",
    "abbr": "VT"
   },
   {
    "state": "Washington",
    "abbr": "WA"
   }
  ],
  "adults_states": [
   {
    "state": "California",
    "abbr": "CA",
    "enrollment": "frozen"
   },
   {
    "state": "Colorado",
    "abbr": "CO",
    "enrollment": "capped"
   },
   {
    "state": "District of Columbia",
    "abbr": "DC",
    "enrollment": "frozen"
   },
   {
    "state": "Illinois",
    "abbr": "IL",
    "enrollment": "paused"
   },
   {
    "state": "New York",
    "abbr": "NY",
    "enrollment": "open"
   },
   {
    "state": "Oregon",
    "abbr": "OR",
    "enrollment": "open"
   },
   {
    "state": "Washington",
    "abbr": "WA",
    "enrollment": "capped"
   }
  ],
  "open_adult_states": [
   {
    "state": "New York",
    "abbr": "NY"
   },
   {
    "state": "Oregon",
    "abbr": "OR"
   }
  ],
  "timeline": [
   {
    "date": "2023-11-06",
    "state": "Illinois",
    "event": "Paused new enrollment in HBIS (seniors 65+); enrollees keep coverage"
   },
   {
    "date": "2024-07-01",
    "state": "Washington",
    "event": "Opened its Apple Health-like adult program with capped funding; demand has exceeded space"
   },
   {
    "date": "2025-01-01",
    "state": "Minnesota",
    "event": "Extended MinnesotaCare to adults regardless of status"
   },
   {
    "date": "2025-07-01",
    "state": "Illinois",
    "event": "Ended HBIA, the program for adults 42-64, citing funding constraints"
   },
   {
    "date": "2025-10-01",
    "state": "District of Columbia",
    "event": "Froze new Health Care Alliance enrollment for adults 26 and older"
   },
   {
    "date": "2026-01-01",
    "state": "Minnesota",
    "event": "Ended the adult coverage it had extended one year earlier (children's coverage continues)"
   },
   {
    "date": "2026-01-01",
    "state": "California",
    "event": "Froze new Medi-Cal enrollment for undocumented adults 19 and older"
   },
   {
    "date": "2026-01-01",
    "state": "Colorado",
    "event": "Cut the Colorado Connect subsidy cap from 12,000 people to 6,700"
   },
   {
    "date": "2026-07-01",
    "state": "California",
    "event": "Non-emergency dental services end for undocumented adult enrollees (and others subject to the change)"
   },
   {
    "date": "2027-01-01",
    "state": "Colorado",
    "event": "Plans to scale back children's coverage (announced)"
   },
   {
    "date": "2027-07-01",
    "state": "California",
    "event": "$30 monthly premiums begin for enrollees 19-59 (announced)"
   },
   {
    "date": "2027-10-01",
    "state": "District of Columbia",
    "event": "Plans to end Health Care Alliance adult coverage entirely (announced)"
   }
  ]
 },
 "jurisdictions": [
  {
   "state": "California",
   "abbr": "CA",
   "children": true,
   "adults": "frozen",
   "prenatal_regardless": true,
   "children_detail": "Full-scope Medi-Cal for children under 19 (also foster and former foster youth under 26)",
   "adults_detail": "Adults 19 and older could enroll in full-scope Medi-Cal regardless of status if enrolled by January 1, 2026; new enrollment for undocumented adults has been frozen since that date. Enrolled adults lose non-emergency dental services on or after July 1, 2026, and ages 19-59 pay $30 monthly premiums on or after July 1, 2027.",
   "prenatal_detail": "Full-scope coverage for pregnant people, including 12 months postpartum"
  },
  {
   "state": "Colorado",
   "abbr": "CO",
   "children": true,
   "adults": "capped",
   "prenatal_regardless": true,
   "children_detail": "Children under 19 (Colorado plans to scale back this coverage beginning January 2027)",
   "adults_detail": "State-based premium assistance for individual coverage purchased on the Colorado Connect platform, up to 150% FPL, regardless of status; the enrollment cap was cut from 12,000 people (2025) to 6,700 (2026).",
   "prenatal_detail": "Includes 12 months postpartum"
  },
  {
   "state": "District of Columbia",
   "abbr": "DC",
   "children": true,
   "adults": "frozen",
   "prenatal_regardless": false,
   "children_detail": "DC Health Care Alliance for Children, children under 21",
   "adults_detail": "DC Health Care Alliance for adults 21 and older earning up to 138% FPL; new enrollment frozen for adults 26 and older since October 1, 2025 (ages 21-25 can still enroll). DC plans to end adult coverage by October 2027."
  },
  {
   "state": "Illinois",
   "abbr": "IL",
   "children": true,
   "adults": "paused",
   "prenatal_regardless": true,
   "children_detail": "All Kids program, family income up to 318% FPL (copays and premiums suspended)",
   "adults_detail": "Health Benefits for Immigrant Seniors (HBIS), 65 and older with income up to 100% FPL; new enrollment paused since November 6, 2023 (current enrollees keep coverage). The companion adult program HBIA (ages 42-64) ended in July 2025.",
   "prenatal_detail": "Income up to 213% FPL, plus 12 months postpartum"
  },
  {
   "state": "New York",
   "abbr": "NY",
   "children": true,
   "adults": "open",
   "prenatal_regardless": true,
   "children_detail": "All children covered under Medicaid or the state Child Health Plus program",
   "adults_detail": "Seniors 65 and older, regardless of immigration status, through state-funded coverage.",
   "prenatal_detail": "Prenatal plus 12 months postpartum"
  },
  {
   "state": "Oregon",
   "abbr": "OR",
   "children": true,
   "adults": "open",
   "prenatal_regardless": true,
   "children_detail": "Children regardless of status (the same program also covers adults)",
   "adults_detail": "Adults regardless of immigration status.",
   "prenatal_detail": "Prenatal, 12 months postpartum, and reproductive health care"
  },
  {
   "state": "Washington",
   "abbr": "WA",
   "children": true,
   "adults": "capped",
   "prenatal_regardless": true,
   "children_detail": "Children in households up to 317% FPL (no share of cost up to 215% FPL; monthly premiums between 215% and 317%)",
   "adults_detail": "A Medicaid-like Apple Health program for adults earning up to 138% FPL, open since July 1, 2024 -- but program funding is capped and demand exceeds the space available; people can apply to be considered if space opens.",
   "prenatal_detail": "Up to 215% FPL, plus 12 months postpartum"
  },
  {
   "state": "Connecticut",
   "abbr": "CT",
   "children": true,
   "adults": "none",
   "prenatal_regardless": true,
   "children_detail": "Children under 15 at enrollment; if they remain eligible, coverage continues to age 19",
   "prenatal_detail": "Prenatal plus 12 months postpartum"
  },
  {
   "state": "Maine",
   "abbr": "ME",
   "children": true,
   "adults": "none",
   "prenatal_regardless": true,
   "children_detail": "Children under 21",
   "prenatal_detail": "Pregnant people regardless of status, including 12 months postpartum"
  },
  {
   "state": "Massachusetts",
   "abbr": "MA",
   "children": true,
   "adults": "none",
   "prenatal_regardless": true,
   "children_detail": "Primary and preventive care through the state-funded Children's Medical Security Plan (children under 19 who are not lawfully present or PRUCOL); broader state-funded MassHealth for PRUCOL children",
   "prenatal_detail": "Full-scope coverage for pregnant people, including 12 months postpartum"
  },
  {
   "state": "Minnesota",
   "abbr": "MN",
   "children": true,
   "adults": "none",
   "prenatal_regardless": true,
   "children_detail": "MinnesotaCare, children under 18 who are ineligible for Medical Assistance",
   "prenatal_detail": "All otherwise-eligible pregnant people, including 12 months postpartum"
  },
  {
   "state": "New Jersey",
   "abbr": "NJ",
   "children": true,
   "adults": "none",
   "prenatal_regardless": true,
   "children_detail": "NJ FamilyCare, children under 19",
   "prenatal_detail": "Prenatal and contraceptive care"
  },
  {
   "state": "Rhode Island",
   "abbr": "RI",
   "children": true,
   "adults": "none",
   "prenatal_regardless": true,
   "children_detail": "Children under 19",
   "prenatal_detail": "Prenatal plus 12 months postpartum"
  },
  {
   "state": "Utah",
   "abbr": "UT",
   "children": true,
   "adults": "none",
   "prenatal_regardless": false,
   "children_detail": "Children regardless of status, if they meet certain conditions"
  },
  {
   "state": "Vermont",
   "abbr": "VT",
   "children": true,
   "adults": "none",
   "prenatal_regardless": true,
   "children_detail": "Children regardless of status (also pregnant people)",
   "prenatal_detail": "Pregnant people regardless of status, including 12 months postpartum"
  },
  {
   "state": "Alabama",
   "abbr": "AL",
   "children": false,
   "adults": "none",
   "prenatal_regardless": true
  },
  {
   "state": "Alaska",
   "abbr": "AK",
   "children": false,
   "adults": "none",
   "prenatal_regardless": false
  },
  {
   "state": "Arizona",
   "abbr": "AZ",
   "children": false,
   "adults": "none",
   "prenatal_regardless": false
  },
  {
   "state": "Arkansas",
   "abbr": "AR",
   "children": false,
   "adults": "none",
   "prenatal_regardless": true
  },
  {
   "state": "Delaware",
   "abbr": "DE",
   "children": false,
   "adults": "none",
   "prenatal_regardless": false
  },
  {
   "state": "Florida",
   "abbr": "FL",
   "children": false,
   "adults": "none",
   "prenatal_regardless": false
  },
  {
   "state": "Georgia",
   "abbr": "GA",
   "children": false,
   "adults": "none",
   "prenatal_regardless": false
  },
  {
   "state": "Hawaii",
   "abbr": "HI",
   "children": false,
   "adults": "none",
   "prenatal_regardless": false
  },
  {
   "state": "Idaho",
   "abbr": "ID",
   "children": false,
   "adults": "none",
   "prenatal_regardless": false
  },
  {
   "state": "Indiana",
   "abbr": "IN",
   "children": false,
   "adults": "none",
   "prenatal_regardless": false
  },
  {
   "state": "Iowa",
   "abbr": "IA",
   "children": false,
   "adults": "none",
   "prenatal_regardless": false
  },
  {
   "state": "Kansas",
   "abbr": "KS",
   "children": false,
   "adults": "none",
   "prenatal_regardless": false
  },
  {
   "state": "Kentucky",
   "abbr": "KY",
   "children": false,
   "adults": "none",
   "prenatal_regardless": false
  },
  {
   "state": "Louisiana",
   "abbr": "LA",
   "children": false,
   "adults": "none",
   "prenatal_regardless": true
  },
  {
   "state": "Maryland",
   "abbr": "MD",
   "children": false,
   "adults": "none",
   "prenatal_regardless": true,
   "prenatal_detail": "Prenatal care up to 250% FPL"
  },
  {
   "state": "Michigan",
   "abbr": "MI",
   "children": false,
   "adults": "none",
   "prenatal_regardless": true
  },
  {
   "state": "Mississippi",
   "abbr": "MS",
   "children": false,
   "adults": "none",
   "prenatal_regardless": false
  },
  {
   "state": "Missouri",
   "abbr": "MO",
   "children": false,
   "adults": "none",
   "prenatal_regardless": true
  },
  {
   "state": "Montana",
   "abbr": "MT",
   "children": false,
   "adults": "none",
   "prenatal_regardless": false
  },
  {
   "state": "Nebraska",
   "abbr": "NE",
   "children": false,
   "adults": "none",
   "prenatal_regardless": true
  },
  {
   "state": "Nevada",
   "abbr": "NV",
   "children": false,
   "adults": "none",
   "prenatal_regardless": false
  },
  {
   "state": "New Hampshire",
   "abbr": "NH",
   "children": false,
   "adults": "none",
   "prenatal_regardless": false
  },
  {
   "state": "New Mexico",
   "abbr": "NM",
   "children": false,
   "adults": "none",
   "prenatal_regardless": false
  },
  {
   "state": "North Carolina",
   "abbr": "NC",
   "children": false,
   "adults": "none",
   "prenatal_regardless": false
  },
  {
   "state": "North Dakota",
   "abbr": "ND",
   "children": false,
   "adults": "none",
   "prenatal_regardless": false
  },
  {
   "state": "Ohio",
   "abbr": "OH",
   "children": false,
   "adults": "none",
   "prenatal_regardless": false
  },
  {
   "state": "Oklahoma",
   "abbr": "OK",
   "children": false,
   "adults": "none",
   "prenatal_regardless": true,
   "prenatal_detail": "Soon to be Sooners program"
  },
  {
   "state": "Pennsylvania",
   "abbr": "PA",
   "children": false,
   "adults": "none",
   "prenatal_regardless": false
  },
  {
   "state": "South Carolina",
   "abbr": "SC",
   "children": false,
   "adults": "none",
   "prenatal_regardless": false
  },
  {
   "state": "South Dakota",
   "abbr": "SD",
   "children": false,
   "adults": "none",
   "prenatal_regardless": true
  },
  {
   "state": "Tennessee",
   "abbr": "TN",
   "children": false,
   "adults": "none",
   "prenatal_regardless": true,
   "prenatal_detail": "CoverKids (Healthy TN Babies)"
  },
  {
   "state": "Texas",
   "abbr": "TX",
   "children": false,
   "adults": "none",
   "prenatal_regardless": true,
   "prenatal_detail": "CHIP Perinatal program"
  },
  {
   "state": "Virginia",
   "abbr": "VA",
   "children": false,
   "adults": "none",
   "prenatal_regardless": true
  },
  {
   "state": "West Virginia",
   "abbr": "WV",
   "children": false,
   "adults": "none",
   "prenatal_regardless": false
  },
  {
   "state": "Wisconsin",
   "abbr": "WI",
   "children": false,
   "adults": "none",
   "prenatal_regardless": true
  },
  {
   "state": "Wyoming",
   "abbr": "WY",
   "children": false,
   "adults": "none",
   "prenatal_regardless": false
  }
 ]
}