Medicaid Eligibility Changes for Immigrants

A new federal law, H.R. 1 (OBBBA), was signed on July 4, 2025. It changes who is considered a ‘qualified immigrant’ for Medicaid.

Some groups that used to be eligible for Medicaid may not be able to get it anymore under the new law. This includes refugees and asylees, humanitarian parolees, and survivors of trafficking or domestic violence.

Starting October 1, 2026, Medicaid will mostly be for:

U.S. citizens and U.S. nationals
Green card holders (Lawful Permanent Residents) who have been in the U.S. for 5 years or more
People from Cuba or Haiti who entered under special rules
COFA migrants (citizens of Marshall Islands, Micronesia, or Palau) ○ Note: Children and pregnant people may still be able to get health insurance even if the rules for others have changed.

If your coverage is affected, you will receive a personal letter from DWS by October 1, 2026, with instructions and information on how to appeal if you disagree.

If you are due for an appointment, you should call your doctor to schedule an office visit before October 2026. This will help you get the care and medicine you need while you still have coverage.

More information is on the Medicaid website: Medicaid.utah.gov/obbba

****Facilities and restrooms are accessible to individuals with developmental and physical disabilities. BRBH’s offices and facilities have accommodations for people with disabilities, including offices, exam rooms and equipment. Accommodations include, but are not limited to, bariatric chairs, braille door plates, ADA entrances/restrooms, and rooms with dimming light. Special accommodations may be provided prior to or during treatment upon request by contacting (435) 752-0750.****

Bear River Behavioral Health, Inc. is a National Health Service Corps approved site.

We are committed to providing equitable access to services for all individuals, regardless of age, race, color, national origin, language, cultural background, marital status, developmental disability, sexual orientation, gender identity, or religion. No one will be denied access to crisis services due to inability to pay.

Sliding-fee or grant-based services may be available for individuals who qualify under special service priorities. Full (no cost) coverage is available to traditional Medicaid enrollees. Reduced (no-cost) coverage is available for non-traditional Medicaid enrollees.

Es posible que haya servicios disponibles con tarifas ajustadas según los ingresos o financiados mediante subvenciones para las personas que cumplan con los requisitos de prioridades especiales de atención. Los afiliados a Medicaid tradicional cuentan con cobertura completa (sin costo). Los afiliados a Medicaid no tradicional cuentan con cobertura reducida (sin costo)