10/04/2026
HR1 (Big Beautiful Bill) has removed Medicaid eligibility for asylum seekers and refugees until their green card is processed starting October 1. That process can take a year or more. Depending on visa status, they may or may not be able to work in the US.
We had at one child who had a tonsillectomy scheduled for October 1 have to cancel the surgery due to loss of Medicaid coverage. For a child. The family can pay up front if they want to get the surgery.