{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T22:52:59Z","timestamp":1791327179661,"version":"4.3.1"},"reference-count":53,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,8,26]],"date-time":"2025-08-26T00:00:00Z","timestamp":1756166400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,8,26]],"date-time":"2025-08-26T00:00:00Z","timestamp":1756166400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100006545","name":"National Institute on Minority Health and Health Disparities","doi-asserted-by":"publisher","award":["R01MD014146"],"award-info":[{"award-number":["R01MD014146"]}],"id":[{"id":"10.13039\/100006545","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006545","name":"National Institute on Minority Health and Health Disparities","doi-asserted-by":"publisher","award":["R01MD018727"],"award-info":[{"award-number":["R01MD018727"]}],"id":[{"id":"10.13039\/100006545","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Services Research"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To examine how mis\u2010 and disinformation about the Public Charge Ground of Inadmissibility final rule (\u201cpublic charge rule\u201d) influences health care access for Latino immigrants in California as seen through the perspectives of leaders in health\u2010serving organizations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Setting and Design<\/jats:title>\n                    <jats:p>This qualitative study included semi\u2010structured interviews with healthcare and community\u2010based organizational leaders serving Latino immigrants in California. Viswanath et\u00a0al.'s structural influence model of communication and equity guided the analyses and interpretation of the findings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources and Analytic Sample<\/jats:title>\n                    <jats:p>Between May 2024 and April 2025, primary data were collected from 31 organizations, resulting in 32 semi\u2010structured interviews with 38 participants. Interviews were conducted via Zoom and transcribed verbatim. Researchers coded the data based on recurring themes using Dedoose software.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Principal Findings<\/jats:title>\n                    <jats:p>Participants identified the public charge rule as a significant barrier to health care access for Latino immigrants. The policy has discouraged many Latinos from accessing public benefits, particularly the state's Medicaid and Supplemental Nutrition Assistance Program. In addition, immigrants' trusted sources of information (e.g., family, friends, and attorneys) were often misinformed about the policy, which amplified confusion and fear. Organizations respond by providing accurate information and connecting individuals with reliable resources to clarify that using public benefits would not necessarily result in being classified as a public charge. However, most efforts focused on education rather than directly countering mis\u2010 and disinformation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Healthcare and community\u2010based organizations offer unique perspectives as trusted intermediaries who help Latino immigrant families navigate health care and public benefits. Their close daily interactions reveal how misinformation about the public charge rule deters families from accessing essential services and makes it more challenging for organizations to fulfill their missions. These insights underscore the need for culturally responsive outreach and policy solutions that address information gaps and the climate of fear affecting community health.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1475-6773.70032","type":"journal-article","created":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T01:55:00Z","timestamp":1756259700000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Organizational Perspectives on the Public Charge Rule and Health Care Access for Latino Immigrants in California"],"prefix":"10.1111","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4361-9164","authenticated-orcid":false,"given":"Clara B.","family":"Barajas","sequence":"first","affiliation":[{"name":"Department of Health Management and Policy Dornsife School of Public Health, Drexel University  Philadelphia Pennsylvania USA"},{"name":"Thompson School of Social Work &amp; Public Health, University of Hawai\u2019i at M\u0101noa  Honolulu Hawaii USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria\u2010Elena De Trinidad","family":"Young","sequence":"additional","affiliation":[{"name":"Department of Public Health, School of Social Sciences, Humanities, and Arts University of California, Merced  Merced California USA"},{"name":"Center for Health Policy Research, Fielding School of Public Health University of California, Los Angeles  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0414-5015","authenticated-orcid":false,"given":"Arturo Vargas","family":"Bustamante","sequence":"additional","affiliation":[{"name":"Center for Health Policy Research, Fielding School of Public Health University of California, Los Angeles  Los Angeles California USA"},{"name":"Department of Health Policy and Management, Fielding School of Public Health University of California, Los Angeles  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Imelda","family":"Padilla\u2010Frausto","sequence":"additional","affiliation":[{"name":"Center for Health Policy Research, Fielding School of Public Health University of California, Los Angeles  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosa Elena","family":"Garcia","sequence":"additional","affiliation":[{"name":"RAND Corporation  Santa Monica California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2136-9486","authenticated-orcid":false,"given":"Brent A.","family":"Langellier","sequence":"additional","affiliation":[{"name":"Department of Health Management and Policy Dornsife School of Public Health, Drexel University  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dylan H.","family":"Roby","sequence":"additional","affiliation":[{"name":"Center for Health Policy Research, Fielding School of Public Health University of California, Los Angeles  Los Angeles California USA"},{"name":"Department of Health, Society, &amp; Behavior, Program in Public Health University of California Irvine  Irvine California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jim P.","family":"Stimpson","sequence":"additional","affiliation":[{"name":"Department of Health Economics, Systems, and Policy, Peter O'Donnell School of Public Health University of Texas Southwestern Medical Center  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5151-6718","authenticated-orcid":false,"given":"Ninez A.","family":"Ponce","sequence":"additional","affiliation":[{"name":"Center for Health Policy Research, Fielding School of Public Health University of California, Los Angeles  Los Angeles California USA"},{"name":"Department of Health Policy and Management, Fielding School of Public Health University of California, Los Angeles  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan M.","family":"Eberth","sequence":"additional","affiliation":[{"name":"Department of Health Management and Policy Dornsife School of Public Health, Drexel University  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Stehr","sequence":"additional","affiliation":[{"name":"Department of Health Management and Policy Dornsife School of Public Health, Drexel University  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6861-6993","authenticated-orcid":false,"given":"Alexander N.","family":"Ortega","sequence":"additional","affiliation":[{"name":"Thompson School of Social Work &amp; 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