It will force millions of immigrants to forego or disenroll from legally available benefits.
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The tribe scheduled new elections and certified the results of a referendum to disenroll the 306.
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"The concern is that parents will disenroll or not enroll in health and nutrition benefits," Zallman said.
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In response, some immigrants will predictably avoid or disenroll from social programs—including healthcare—to which they are entitled.
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Families could disenroll their children because they fear their immigration status could be questioned due to their use of certain benefits.
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And it will disenroll people from Medicaid for up to six months if they fail to report changes in income or work status.
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Researchers have found that patients in poor health are somewhat more likely than others to disenroll from Medicare Advantage and switch to traditional Medicare.
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Kelly suggested that the 306 disenroll themselves and reapply under Section H. But he soon called for a referendum to remove Section H from the Nooksack constitution.
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But DHS said it would not alter the rule to account for the "unwarranted choices" of families who disenroll from public benefits even if they are not subject to the rule.
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Black hospice patients were significantly more likely than white patients to be admitted to a hospital, go to an emergency department and to disenroll from hospice prior to death, the study found.
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"The 8.3 million number needs to be in context with the 1.4 million that they would expect to disenroll using the 25% disenrollment rate," said Whitener, who was not involved in the study.
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That constant having to reenroll and disenroll from different insurance plans with different provider networks and different primary care physicians means there's a lot of discontinuity in the care that those individuals receive.
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" In a 3063 tweet, Sherman Alexie, the Spokane and Coeur d'Alene author, put it even more emphatically: "Dear Indian tribes who disenroll members, you should be ashamed of your colonial and capitalistic bullshit.
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The proposed changes are expected to cause many immigrants to disenroll their children from safety-net programs like Medicaid and the Children's Health Insurance Program (CHIP) out of fear and confusion, even among families to whom the rule would not apply.
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When a draft version of that regulation leaked earlier in the year, the Migration Policy Institute had warned that millions of immigrants — between 5.2 million to 16.2 million people — could disenroll themselves from public programs like SNAP as a result.
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Immigrant families with US citizen children, advocates said, might mistakenly forgo enrollment or disenroll their children from essential health and food benefits because they mistakenly fear that their kids' getting the benefits would destroy their own chances at staying in the country and would tear their families apart.
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Immigrant families with US citizen children, advocates said, might mistakenly forgo enrollment or disenroll their children from essential health and food benefits because they mistakenly fear that their kids getting the benefits would destroy their own chances at staying in the country and would tear their families apart.
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