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October 2003, Vol 93, No. 10 | American Journal of Public Health 1630-1633
© 2003 American Public Health Association

COMMENTARY

Restrictions on Undocumented Immigrants’ Access to Health Services: The Public Health Implications of Welfare Reform

Jeffrey T. Kullgren, MPH

The author is a medical student at the Michigan State University College of Human Medicine, East Lansing.

Correspondence: Requests for reprints should be sent to Jeffrey T. Kullgren, MPH, Michigan State University, College of Human Medicine, A-234 Life Sciences, East Lansing, MI 48824 (e-mail: kullgren{at}msu.edu).

The Personal Responsibility and Work Opportunity Reconciliation Act of 1996 greatly restricts the provision of many federal, state, and local public services to undocumented immigrants. These restrictions have prompted intense debates about the provision of free and discounted primary and preventive health careservices and have placed significant burdens on institutions that serve large undocumented immigrant populations. Intended to serve as a tool for reducing illegal immigration and protecting public resources, federal restrictions on undocumented immigrants’ access to publicly financed health services unduly burden health care providers and threaten the public’s health. These deleterious effects warrant the public health community’s support of strategies designed to sustain provision of health services irrespective of immigration status.




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