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Undocumented Immigrants' Childbirth Is Top Emergency Medicaid Expense

Study of N.C. data shows first look at health care needs of burgeoning population.

By Amanda Gardner
HealthDay Reporter


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TUESDAY, March 13 (HealthDay News) -- The lion's share of Emergency Medicaid expenditures in North Carolina covers undocumented immigrants' pregnancy and labor complications, a trend that's probably occurring in other states, a new study found.

The findings are one of the first close-up looks at the health care needs of the growing numbers of immigrants in the United States, and they appear to question the monetary costs of excluding undocumented immigrants from routine health care, especially prenatal care.

Text Continues Below



Other experts agreed.

"Providing a dollar's worth of prenatal care can save $3 of postnatal care," said Mara Youdelman, director of the National Language Access Advocacy Project at the National Health Law Program in Washington, D.C. "It's much more costly to use Emergency Medicaid to pay for prematurity and low birth-weight babies and postnatal complications."

The research is published in the March 14 issue of the Journal of the American Medical Association, which has a series of articles on health care.

Undocumented immigrants are estimated to account for 29 percent of the total foreign-born population in the United States. Many "new growth" states that previously did not have large immigrant populations, such as North Carolina, are getting many of the newcomers. These "new growth" states may be less prepared to meet the health-care needs of the new arrivals, the study authors suggested.

In North Carolina, the total foreign-born population grew by 274 percent during the 1990s, and included about 300,000 undocumented immigrants by 2004. These immigrants face a host of barriers to accessing health care, not the least of which is federal law.

Undocumented immigrants and legal immigrants who have been in the United States less than five years are generally excluded from Medicaid benefits. But they can receive emergency medical care (known as Emergency Medicaid) if they are children, pregnant women, families with dependent children, or elderly or disabled.

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Copyright © 2007 ScoutNews, LLC. All rights reserved.
Last updated 3/13/2007

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SOURCES: Mara Youdelman, J.D., LLM, director, National Language Access Advocacy Project, National Health Law Program, Washington, D.C.; Leo B. Twiggs, M.D., chairman of obstetrics and gynecology, University of Miami Miller School of Medicine, and clinical service chief, Jackson Memorial Hospital; March 14, 2007, Journal of the American Medical Association


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