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Health Insurance Coverage 1 (September 22, 2009)

handle is hein.congrec/cbo1063 and id is 1 raw text is: CONGRESSIONAL BUDGET OFFICE Douglas W. Elmendorf, Director U.S. Congress Washington, DC 20515 September 22, 2009 Honorable Chuck Grassley Ranking Member Committee on Finance United States Senate Washington, DC 20510 Dear Senator: This letter responds to your request for additional information about health insurance coverage among nonelderly unauthorized immigrants under current law, the Chairman's mark for proposed health care legislation released by the Committee on Finance on September 16 (the America's Healthy Future Act of 2009), and H.R. 3200 (the America's Affordable Health Choices Act of 2009). Estimates of the unauthorized immigrant population residing in the United States are derived from survey data that identify foreign-born individuals but do not specify their legal status. As a result, the Congressional Budget Office (CBO) and the staff of the Joint Committee on Taxation (JCT) must use statistical methods to impute legal status when modeling the effects of proposals affecting health insurance coverage. Although the best available information is used in that process, the data have substantial limitations, and the estimates described in this letter are subject to a significant amount of uncertainty. Under current law, CBO projects that the nonelderly unauthorized immigrant population will total about 14 million in 2019. Of those individuals, nearly 60 percent (about 8 million) will be uninsured. A further 25 percent (about 4 million) will have employment-based coverage, and about 7 percent (1 million) will have some alternative form of insurance (other than Medicaid). The remaining 10 percent (about 1 million) will make use of some Medicaid coverage, reflecting the current law that allows unauthorized immigrants-who are not eligible for full Medicaid benefits-to receive limited Medicaid coverage for emergency care if they would be eligible for the program apart from their unauthorized status. The number using Medicaid may also include some unauthorized immigrants

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