Newsweek - President Donald Trump's One Big Beautiful Bill (OBBB) will impact green card holders and legal immigrants by limiting access to some health benefits and imposing new taxes on money sent overseas.
The nonpartisan Congressional Budget Office estimates that the bill could leave 11.8 million more Americans uninsured by 2034 and increase the federal deficit by nearly $3.3 trillion over the next 10 years. According to CBO estimates, 1.3 million lawfully present immigrants will be uninsured by 2034 due to Trump's flagship domestic policy legislation. The key legislation was signed into law by the president on July 4.
Lawful permanent residents, refugees, survivors of domestic violence, and individuals on valid work or student visas are currently eligible to purchase health insurance through the Affordable Care Act (ACA) marketplace. Many qualify for federal tax credits that help lower monthly premiums, and some may also meet requirements for Medicaid or Medicare, depending on their income and other factors.
The OBBB would significantly restrict that access. If fully enacted, it would prevent some lawfully present immigrants from receiving federal subsidies for health insurance. Low-income green card holders still within the mandatory five-year waiting period for Medicaid, along with refugees and domestic violence survivors, would be among those most affected by the loss of subsidized health insurance under the measure.
Under the changes only green card holders, certain individuals from Cuba or Haiti, and specific Pacific Island communities would remain eligible for federal benefits. Most other immigrant groups, regardless of their legal status, could lose access to affordable coverage options.
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