Table 1.

US Laws and Regulations Discriminating Care of Unauthorized Children and Families

Year	Law	Description
1986	Emergency Medical Treatment & Labor Act (EMTALA)39	•Ensures emergency care (assessment and treatment) regardless of ability to pay.
2009	Children’s Health Insurance Program Reauthorization Act (CHIPRA §214)40	•Denies coverage of children who are undocumented or granted Deferred Action for Childhood Arrivals (DACA) (Dreamers). •Offers states an option to access Medicaid or Children’s Health Insurance Program (CHIP) funds for immigrant children lawfully residing in the United States during the 5-year waiting period for Medicaid/CHIP coverage. As of May 2018, 34 states cover care.
2010	Patient Protection and Affordable Care Act (ACA)41	•Denies coverage of children who are undocumented. Allows undocumented parents to apply for coverage for a dependent child. •Does not require parent to disclose immigration status for application for the child. •Does not allow use of immigration status to be used by US Immigration and Customs Enforcement for immigration enforcement.