{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T22:39:53Z","timestamp":1782599993216,"version":"3.54.5"},"reference-count":51,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T00:00:00Z","timestamp":1771891200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Latino families in the United States experience persistent maternal and child health (MCH) inequities driven by a fragmented immigration and public benefits policy environment rather than inherent health differences. Although most Latino children are U.S.-born citizens, many live in mixed-status families in which immigration status determines eligibility for health care, nutrition assistance, and other essential services. This narrative policy review examines U.S. immigration and public benefit policies from 1965 to 2025 to assess how eligibility rules, enforcement practices, and policy instability shape access to maternal and child health services among Latino populations. Drawing on public health, legal, and social science literature, the review documents substantial variation in access to Medicaid, CHIP, nutrition programs, and emergency care by immigration status and state policy. Findings indicate that restrictive eligibility criteria, expansions and contractions of the public charge rule, and immigration enforcement practices have produced chilling effects that deter eligible families from accessing care, reduce prenatal and postpartum service utilization, and contribute to adverse birth outcomes and intergenerational health inequities. The review concludes that immigration policy functions as a structural determinant of MCH and identifies two key policy priorities: 1. maintaining the 2022 Final Public Charge Rule that excludes public safety-net programs, and 2. waiving the five-year Medicaid waiting period for all pregnant immigrants regardless of documentation status to ensure equitable access to essential maternal and child health care.<\/jats:p>","DOI":"10.3390\/ijerph23030275","type":"journal-article","created":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T10:14:44Z","timestamp":1771928084000},"page":"275","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["U.S. Immigration Policy Environment Contributions to Maternal and Child Health in the Latino Population"],"prefix":"10.3390","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2506-572X","authenticated-orcid":false,"given":"Cynthia N.","family":"Lebron","sequence":"first","affiliation":[{"name":"School of Nursing and Health Studies, University of Miami, Coral Gables, FL 33146, USA"},{"name":"Latino Caucus for Public Health in Affiliation with the American Public Health Association, Washington, DC 20001, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7631-5880","authenticated-orcid":false,"given":"Anna-Michelle","family":"McSorley","sequence":"additional","affiliation":[{"name":"Latino Caucus for Public Health in Affiliation with the American Public Health Association, Washington, DC 20001, USA"},{"name":"Department of Allied Health Sciences, University of Connecticut, Storrs, CT 06269, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2611-8755","authenticated-orcid":false,"given":"Vanessa","family":"Morales","sequence":"additional","affiliation":[{"name":"Latino Caucus for Public Health in Affiliation with the American Public Health Association, Washington, DC 20001, USA"},{"name":"Department of Public Health Sciences, University of Miami, Miami, FL 33146, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah T.","family":"Peterson","sequence":"additional","affiliation":[{"name":"Department of Allied Health Sciences, University of Connecticut, Storrs, CT 06269, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-5528-530X","authenticated-orcid":false,"given":"Veronica","family":"Morales","sequence":"additional","affiliation":[{"name":"Jacob D. Fuchsberg Law Center, Touro University, Central Islip, NY 11722, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,2,24]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Clarke, W., Turner, K., and Guzman, L. (2017). One Quarter of Hispanic Children in the United States Have an Unauthorized Immigrant Parent, Urban Institute.","DOI":"10.59377\/758t6091j"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1051","DOI":"10.2105\/AJPH.2024.307750","article-title":"Navigating the Labyrinth of Pregnancy-Related Coverage for Undocumented Immigrants: An Assessment of Current State and Federal Policies","volume":"114","author":"DiMeo","year":"2024","journal-title":"Am. J. Public Health"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1186\/s40985-016-0043-2","article-title":"Hispanic Health in the USA: A Scoping Review of the Literature","volume":"37","author":"Jimenez","year":"2016","journal-title":"Public Health Rev."},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"American College of Obstetricians and Gynecologists Health Care for Immigrants (2023). ACOG Committee Statement No. 4. Obstet. Gynecol., 141, e427\u2013e433.","DOI":"10.1097\/AOG.0000000000005061"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1528","DOI":"10.1377\/hlthaff.2024.00204","article-title":"Perinatal Health Insurance And Health Care Use By Immigration Status In 6 US States, 2020\u20132022: Article Examines Perinatal Health Insurance and Health Care Use by Immigration Status in Six US States","volume":"43","author":"Steenland","year":"2024","journal-title":"Health Aff."},{"key":"ref_6","unstructured":"(2025, December 30). Temporary Assistance for Needy Families (TANF), Available online: https:\/\/acf.gov\/ofa\/programs\/temporary-assistance-needy-families-tanf."},{"key":"ref_7","unstructured":"(2025, December 30). WIC: Special Supplemental Nutrition Program for Women, Infants, and Children, Available online: https:\/\/www.fns.usda.gov\/wic."},{"key":"ref_8","unstructured":"Pillai, D., and Artiga, S. (2025). 1.4 Million Lawfully Present Immigrants Are Expected to Lose Health Coverage Due to the 2025 Tax and Budget Law, Kaiser Family Foundation."},{"key":"ref_9","unstructured":"Broder, T., and Blazer, J. (2025, December 30). Overview of Immigrant Eligibility for Federal Programs. Available online: https:\/\/www.alrp.org\/wp-content\/uploads\/Overview-of-Immigrant-Eligibility-for-Federal-Programs.pdf."},{"key":"ref_10","unstructured":"(2026, February 10). Health Coverage for Lawfully Present Immigrants, Available online: https:\/\/www.healthcare.gov\/immigrants\/lawfully-present-immigrants\/."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1146\/annurev-publhealth-040218-044115","article-title":"Policies of Exclusion: Implications for the Health of Immigrants and Their Children","volume":"40","author":"Perreira","year":"2019","journal-title":"Annu. Rev. Public Health"},{"key":"ref_12","unstructured":"Artiga, S., Pillai, D., Tolbert, J., and Pillai, A. (2025). 5 Key Facts About Medicaid and Pregnancy, Kaiser Family Foundation."},{"key":"ref_13","unstructured":"Pillai, A., and Artiga, S. (2025). State Health Coverage for Immigrants and Implications for Health Coverage and Care, Kaiser Family Foundation."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"e2239264","DOI":"10.1001\/jamanetworkopen.2022.39264","article-title":"Analysis of State Medicaid Expansion and Access to Timely Prenatal Care Among Women Who Were Immigrant vs US Born","volume":"5","author":"Janevic","year":"2022","journal-title":"JAMA Netw. Open"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1056","DOI":"10.1377\/hlthaff.2020.02356","article-title":"Chilling Effects: US Immigration Enforcement And Health Care Seeking Among Hispanic Adults: Study Examines the Effects of US Immigration Enforcement and Health Care Seeking among Hispanic Adults","volume":"40","author":"Friedman","year":"2021","journal-title":"Health Aff."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1370\/afm.2572","article-title":"Immigrant Health and Changes to the Public-Charge Rule: Family Physicians\u2019 Response","volume":"18","author":"Haq","year":"2020","journal-title":"Ann. Fam. Med."},{"key":"ref_17","unstructured":"Artiga, S., and Ubri, P. (2017). Living in an Immigrant Family in America: How Fear and Toxic Stress Are Affecting Daily Life, Well-Being, & Health, Kaiser Family Foundation."},{"key":"ref_18","unstructured":"U.S. Department of Justice, and Immigration and Naturalization Service (1999). Field Guidance on Deportability and Inadmissibility on Public Charge Grounds, Federal Register."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1738","DOI":"10.2105\/AJPH.2022.307011","article-title":"The 2016 Presidential Election, the Public Charge Rule, and Food and Nutrition Assistance Among Immigrant Households","volume":"112","author":"Miller","year":"2022","journal-title":"Am. J. Public Health"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.puhe.2023.09.020","article-title":"Uninsured Immigrants in the United States Significantly Delayed the Initiation of Prenatal Care after the Changes to the Public Charge Rule","volume":"225","author":"Choi","year":"2023","journal-title":"Public Health"},{"key":"ref_21","unstructured":"(2025, December 09). Public Charge Ground of Inadmissibility, Available online: https:\/\/www.federalregister.gov\/documents\/2025\/11\/19\/2025-20278\/public-charge-ground-of-inadmissibility."},{"key":"ref_22","unstructured":"(2025, December 09). Human Rights. Available online: https:\/\/www.who.int\/health-topics\/human-rights."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1695","DOI":"10.1016\/j.socscimed.2011.02.046","article-title":"Prenatal Care among Immigrant and Racial-Ethnic Minority Women in a New Immigrant Destination: Exploring the Impact of Immigrant Legal Status","volume":"72","author":"Korinek","year":"2011","journal-title":"Soc. Sci. Med."},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Suri, S., Verlato, G., and Ray, S. (2025). Editorial: The First 1000 Days: Window of Opportunity for Child Health and Development. Front. Nutr., 12.","DOI":"10.3389\/fnut.2025.1673003"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1111\/j.1728-4457.2012.00470.x","article-title":"Unintended Consequences of US Immigration Policy: Explaining the Post-1965 Surge from Latin America","volume":"38","author":"Massey","year":"2012","journal-title":"Popul. Dev. Rev."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"1509","DOI":"10.1111\/j.1475-6773.2004.00301.x","article-title":"The Unintended Impact of Welfare Reform on the Medicaid Enrollment of Eligible Immigrants","volume":"39","author":"Kandula","year":"2004","journal-title":"Health Serv. Res."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1086\/695528","article-title":"Public Insurance and Mortality: Evidence from Medicaid Implementation","volume":"126","year":"2018","journal-title":"J. Political Econ."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"851","DOI":"10.1111\/ppe.12898","article-title":"The Effect of the 2009 WIC Revision on Maternal and Child Health: A Quasi-Experimental Study","volume":"36","author":"Pulvera","year":"2022","journal-title":"Paediatr. Perinat. Epidemiol."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1016\/j.acap.2022.10.008","article-title":"Breastfeeding Outcomes Associated with the Special Supplemental Nutrition Program for Women, Infants, and Children: A Systematic Review","volume":"23","author":"Gross","year":"2023","journal-title":"Acad. Pediatr."},{"key":"ref_30","unstructured":"(2025, December 17). Impact of Participation in the WIC Program on Alien Status, Available online: https:\/\/www.fns.usda.gov\/wic\/impact-participation-alien-status."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"1514","DOI":"10.1016\/j.jand.2022.02.005","article-title":"Prenatal WIC Is Associated with Increased Birth Weight of Infants Born in the United States with Immigrant Mothers","volume":"122","author":"Mbamalu","year":"2022","journal-title":"J. Acad. Nutr. Diet."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1080\/08998280.2001.11927785","article-title":"The Emergency Medical Treatment and Active Labor Act (Emtala): What It Is and What It Means for Physicians","volume":"14","author":"Zibulewsky","year":"2001","journal-title":"Bayl. Univ. Med. Cent. Proc."},{"key":"ref_33","first-page":"7","article-title":"Medicaid and Pregnant Women: Who Is Being Enrolled and When","volume":"17","author":"Ellwood","year":"1995","journal-title":"Health Care Financ. Rev."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"470","DOI":"10.1067\/mem.2002.128799","article-title":"Explaining the EMTALA Paradox","volume":"40","author":"Bitterman","year":"2002","journal-title":"Ann. Emerg. Med."},{"key":"ref_35","unstructured":"(2025, December 17). Program History and Prior Initiatives, Available online: https:\/\/www.medicaid.gov\/about-us\/program-history."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1177\/0886109911405484","article-title":"The Impact of Unintended Consequences of the 1996 U.S. Immigration Reform Act on Women","volume":"26","author":"Gomes","year":"2011","journal-title":"Affilia"},{"key":"ref_37","unstructured":"Center on Children and Families (2022). CHIP: Serving America\u2019s Children for 25 Years, Georgetown University."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1111\/1475-6773.14061","article-title":"Effects of the Children\u2019s Health Insurance Reauthorization Act on Immigrant Children\u2019s Healthcare Access","volume":"57","author":"Chu","year":"2022","journal-title":"Health Serv. Res."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1007\/s40653-019-00262-4","article-title":"Working with Parents and Children Separated at the Border: Examining the Impact of the Zero Tolerance Policy and Beyond","volume":"12","author":"Pineda","year":"2019","journal-title":"J. Child Adolesc. Trauma"},{"key":"ref_40","unstructured":"Knapp, C. (2025, December 17). Medicaid Managed Care Payments and Emergency Medical Condition Coverage for Aliens Ineligible for Full Medicaid Benefits, Available online: https:\/\/www.medicaid.gov\/federal-policy-guidance\/downloads\/smd25003.pdf."},{"key":"ref_41","unstructured":"U.S. Department of Health and Human Services, and Centers for Medicare & Medicaid Services (2016). Section 1011: Federal Reimbursement of Emergency Health Services Furnished to Undocumented Aliens."},{"key":"ref_42","unstructured":"D\u2019Avanzo, B. (2025). Fact Checking Immigrants, Health Care, and the 2025 Tax and Budget Law, National Immigration Law Center."},{"key":"ref_43","unstructured":"American Public Health Association, Robert Wood Johnson Foundation, and Public Health Deans and Scholars (2025). American Public Health Association, Robert Wood Johnson Foundation, and Public Health Deans and Scholars\u2019 Comments on Department of Homeland Security \u201cPublic Charge Ground of Inadmissibility\u201d (DHS Docket No. USCIS 2025-0304; RIN 1615-AD06)."},{"key":"ref_44","unstructured":"Haley, J.M., Kenney, G.M., Bernstein, H., and Gonzalez, D. (2020). Chilling Effects of Public Charge Rule on Immigrant Families with Children in 2019, Urban Institute."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"1747","DOI":"10.2105\/AJPH.2022.307066","article-title":"Changes in the Public Charge Rule and Health of Mothers and Infants Enrolled in New York State\u2019s Medicaid Program, 2014\u20132019","volume":"112","author":"Wang","year":"2022","journal-title":"Am. J. Public Health"},{"key":"ref_46","first-page":"485","article-title":"Adequacy of Prenatal Care and Pregnancy Outcome","volume":"100","author":"Krueger","year":"2000","journal-title":"J. Osteopath. Med."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"787","DOI":"10.1055\/s-0032-1316439","article-title":"Inadequate Prenatal Care Utilization and Risks of Infant Mortality and Poor Birth Outcome: A Retrospective Analysis of 28,729,765 U.S. Deliveries over 8 Years","volume":"29","author":"Partridge","year":"2012","journal-title":"Am. J. Perinatol."},{"key":"ref_48","unstructured":"(2025, December 30). H.R. 4170\u2014LIFT the BAR Act, Available online: https:\/\/www.congress.gov\/bill\/118th-congress\/house-bill\/4170."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"2119","DOI":"10.11124\/JBIES-20-00578","article-title":"Timing of Maternal Mortality and Severe Morbidity during the Postpartum Period: A Systematic Review","volume":"20","author":"Dol","year":"2022","journal-title":"JBI Evid. Synth."},{"key":"ref_50","unstructured":"Artiga, S., Pillai, D., Tolbert, J., and Pillai, A. (2025). 5 Key Facts About Immigrants and Medicaid, Kaiser Family Foundation."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1257\/aer.20210937","article-title":"Multigenerational Impacts of Childhood Access to the Safety Net: Early Life Exposure to Medicaid and the Next Generation\u2019s Health","volume":"113","author":"East","year":"2023","journal-title":"Am. Econ. Rev."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/23\/3\/275\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T10:18:17Z","timestamp":1771928297000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/23\/3\/275"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,24]]},"references-count":51,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2026,3]]}},"alternative-id":["ijerph23030275"],"URL":"https:\/\/doi.org\/10.3390\/ijerph23030275","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,24]]}}}