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Several commenters stated that the rule would drastically increase new york giants national football league ugly christmas sweater the scope of who would be considered a public charge to include people who use a

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Like any insurance plan, Medicaid protects against future potential expenses and ensures that enrollees can receive the services they need. new york giants national football league ugly christmas sweater Medicaid coverage constitutes a significant benefit received by enrollees regardless of direct expenditures, even if states require enrollees to pay subsidized premiums and pay for cost-sharing services. According to the Centers for Medicare and Medicaid Services, Office of the Actuary, “beneficiary cost sharing, such as deductibles or copayments, and beneficiary premiums are very limited in Medicaid and do not represent a significant share of the total cost of healthcare goods and services for Medicaid enrollees.” Ninety-five percent of total outlays in 2016 were for medical assistance payments, such as acute care benefits, long-term care benefits, capitation payments and premiums, and disproportionate share hospital payments.

Capitation payments and other premiums, which include premiums paid to Medicaid managed care plans, pre-paid health plans, other health plan premiums, and premiums for Medicare Part A and Part B, represented 49 percent of Medicaid benefit expenditures in 2016. Accordingly, the duration of an alien’s receipt of non-monetizable benefits like Medicaid is a reasonable proxy for assessing an alien’s reliance on public benefits. DHS also believes that benefits received, including Medicaid, over that timeframe likely exceeds a nominal level of support that merely supplements an alien’s independent ability to meet his or her basic living needs. A commenter questioned DHS’s assertion that the proposed definition of public charge reflects Congress’s intent to have aliens be self-sufficient and not reliant on the government for assistance. The commenter indicated that the INA does not mention self-sufficiency and does not list it as a criterion for avoiding a finding of inadmissibility under public charge.