New immigrant eligibility limits for ACA subsidies start in 2027

The 2025 reconciliation law introduces new restrictions on immigrant eligibility for federally funded health programs, including the Affordable Care Act (ACA) Marketplace subsidies, Medicaid, CHIP, and Medicare, according to KFF.

These changes will take effect on January 1, 2027, limiting access to premium tax credits and cost-sharing reductions for many lawfully present immigrants.

Undocumented immigrants remain ineligible for federally funded health coverage under existing policy, KFF noted.

The policy brief from KFF outlines key issues for individuals and states as they prepare for these changes in immigrant eligibility for health coverage subsidies.

KFF provides independent research and analysis on health policy issues, aiming to inform public debate and decision-making around health care access and equity.