We are a nation of immigrants. One in 4 children in the United States lives in an immigrant family, where at least 1 parent was born outside of the United States (first- and second-generation families), and by 2060, this proportion will increase to 1 in 3 children. Among children in immigrant families (CIF), 90% are United States citizens, 6% are documented noncitizens, and 4% are undocumented. In addition, there are >4.4 million children with an undocumented parent in the United States. It is crucial to understand how federal public policy impacts the health of CIF and recognize the importance of child health policy at the state level, where Medicaid programs insure >1 in 3 children. The article by Rosenberg et al highlights the variation of care to CIF by examining state-by-state variation of health care access and utilization by these children, comparing states that have expanded Medicaid...

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