Primarily, they argue that illegal immigrants would be permitted to purchase insurance on the national health insurance exchange because the bill does not include a mechanism for verifying citizenship. So illegal immigrants would have the chance to purchase insurance in the public option, a government-run health care plan that would offer basic coverage at a low price.
FAIR also argues for more robust verification measures for the affordability credit and making sure that illegal immigrant parents won't be able to receive coverage if their citizen children are eligible.
FAIR has a point that illegal immigrants would likely be able to buy insurance on the national health insurance exchange. We don't see anything in the bills that would hinder that. A Congressional Research Service report issued Aug. 25, 2009, confirmed our observation. The House bill "does not contain any restrictions on noncitzens participating in the Exchangewhether the noncitizens are legally or illegally present, or in the United States temporarily or permanently," the report said.
But it's worth pointing out that illegal immigrants participating in the exchange would be paying for their insurance like everyone else. That's similar to the current system -- we're not aware of any particular restrictions that stop illegal immigrants from buying private insurance now. Under health care reform, illegal immigrants would be able to buy private insurance or the public option.
When we look at all of this evidence, it seems that health reform leaves in place the status quo on illegal immigration, and certainly does not provide any new benefits particularly for illegal immigrants. We hope to look at this issue more in the days ahead, because some hospitals are particularly concerned about recouping their costs for treating illegal immigrants, and we're curious to know more about that problem and how it might or might not be solved by reform.
The best argument that we find that health reform would help illegal immigrants is that some might be able to purchase the public option -- if it passes, and it might not -- on the new health insurance exchange. They would purchase that at full cost. Obama's said "the reforms I'm proposing would not apply to those who are here illegally," which Wilson said was a "lie." Actually, Obama can make a pretty thorough case that reform doesn't apply to those here illegally. We don't find the public option argument enough to make the case that Obama "lied." We rate Wilson's statement False.
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