State Sen. Allen Christensen, R-North Ogden, says he’s just trying to encourage self-reliance and curb creeping “socialism.” Critics say he’s attempting a mean-spirited attack against new legal immigrants, who are mostly Latino.
Christensen, the Senate chairman of the Social Services Appropriations Subcommittee, is proposing to reinstate a longtime requirement that new legal immigrants wait five years before they could qualify for Medicaid or the Children’s Health Insurance Program (CHIP).
He says his legislation has nothing to do with congressional fights over reauthorizing and funding CHIP. “It’s a philosophical thing. Do we welcome immigrants and say the minute you get here you can have Medicaid when a lot of our people who are already here don’t? It’s kind of a fairness issue,” Christensen, a dentist, says.
His newly written SB48 would reinstate the five-year waiting period. The result of such a change would be to strip CHIP coverage from 475 legal-immigrant children who recently qualified for it, Utah Department of Health spokesman Tom Hudachko says.
But that still would not save Utah any money. The federal government covers the Medicaid cost for new immigrants to encourage states to remove their optional waiting periods, which most have done.
Lincoln Nehring, president and CEO of Voices for Utah Children, says he could understand Christensen trying to remove that benefit for legal immigrants if it helped the state budget, but because it does not he sees darker motives.
“His motivation is he doesn’t think these [legal immigrant] kids are deserving, or as deserving as other children,” Nehring says. “He is making a moral choice that legal immigrant children are not as deserving of health-care coverage as citizens’ children. As an organization that cares about kids, we strongly disagree with that.”
Christensen fires back, saying he is fighting to limit government entitlements and “socialism.”
“Lincoln and I have been on opposite sides of the coin since day one. He just assumed that everybody in the world had socialized medicine. I am trying to watch out for the state, and I do not want to get socialism in any more than we absolutely must have or already have.”
Christensen adds, “I am trying to hold down on the Medicaid enrollment, the welfare enrollment, the food stamp enrollment — all of the entitlement programs — because I don’t believe they have a place in our society.
“The more you depend on government, the more vulnerable you are because if the government can give it, the government can take it away just as easily. So I would just assume we were a little more independent and only those who truly need it would get it for a period of time,” the senator says.
Disagreeing is Oscar A. Solis, the new Catholic bishop of Utah. He wrote to Christensen urging him to withdraw his proposal — noting in part that Pope Francis has said that “health care is not a consumer good, but a human right, and access to health care cannot be a privilege.”
The tussle is the latest twist in a 10-year struggle over whether new legal immigrants should be able to qualify quickly for government health care.
Nehring notes that about a decade ago, the federal government gave states the option to drop the five-year waiting period for new immigrants. “Utah wrestled with it for years,” he says. While many supported it, “they struggled how to pay for it. There was about a $300,0000 fiscal note.”
That changed when Congress amended CHIP a few years ago, and offered to pay all costs for the new immigrants who were legal permanent residents. Undocumented children do not qualify for coverage.
With that federal incentive, last year the Legislature included language in a spending bill asking the Health Department to remove the five-year waiting period, which it did with a rule change.
Nehring says Christensen’s Social Services budget panel unanimously endorsed that language, “but Senator Christensen wasn’t there at the moment.”
Nehring argues that such coverage for new legal immigrants is key to their success in the country.
“Immigrant families are, generally speaking, low-income vulnerable families,” he says. “Not having access to Medicaid or CHIP when you are a low-income family is daunting, and that can weaken and set back families for generations.”
The old waiting period also led to some unfair discrepancies, he says. For example, children that legally immigrated with their parents had to wait five years for coverage. But if the parents had a child born here, the baby was a citizen — and qualified for health care immediately.
“So we had families with mixed status, where some kids had coverage and some did not,” Nehring says. “Creating such disparity, within even the same family, didn’t make sense, and it still doesn’t.”
Congressional renewal and funding of CHIP has been uncertain, so Nehring says “now is not the time to abandon our children and pass state laws that would mean hundreds of kids lose their health insurance.”
Solis, the Catholic bishop, makes arguments similar to Nehring in his letter to Christensen.
He wrote that before the waiting period was lifted, Utah had the fifth highest uninsured rate for children among the states — and the waiting period was one key reason for that. “This lack of coverage for our youth affected not only their immediate health, but their future prospects as well.”
He added, “Study after study clearly shows that access to health care for children results in healthier, better educated and more economically successful adults.”
While Christensen has drafted SB48 and released it for public viewing, he says, “I’m still not sure I’m going to run it” but wants to see where public debate may go. “I put it together, and we’ll see if we end up running it or sit on it.”