Based on recent federal interpretations of PRWORA and new legislation ("One Big Beautiful Bill Act"), significant restrictions have been implemented on federal benefit programs for non-qualified aliens.

Special Considerations

Current Medicare Recipients

• If already enrolled in Medicare, coverage can be maintained until January 4, 2027

State Programs

• Some states have their own programs to provide food and healthcare assistance to immigrants
• State programs are not affected by federal PRWORA restrictions

School Nutrition Programs

• School lunch and breakfast programs remain available to all children eligible for free public education under state/local law, regardless of immigration status (8 U.S.C. § 1615)

Additional Programs Now Restricted

The revised HHS PRWORA interpretation adds these programs as "Federal Public Benefits" (now restricted for non-qualified aliens):

• Title X Family Planning Program
• Head Start
• Community Services Block Grant (CSBG)
• Health Center Program
• Substance Use Prevention, Treatment, and Recovery Services Block Grant
• Community Mental Health Services Block Grant
• Various health workforce programs

USDA Programs

Extensive restrictions now apply to USDA programs including:

• Farm loans and payments
• Rural development programs
• Forest Service permits
• Agricultural research grants
• Various licensing programs

Key Dates Summary

• Immediately Effective: HHS and USDA PRWORA reinterpretations
• July 2025: SNAP and Medicare restrictions begin
• October 2026: Medicaid/CHIP restrictions begin
• December 31, 2025: ACA subsidies lost for those below federal poverty level
• December 31, 2026: All remaining ACA subsidies lost for non-qualified aliens
• January 4, 2027: Current Medicare coverage must end for non-qualified aliens

State Program Alternatives

Important: Some states maintain their own programs to assist immigrants with food and healthcare, which are not subject to federal PRWORA restrictions. Individuals should check with state and local agencies for available assistance. The federal government is applying considerable pressure to deter states from doing this, so conditions may change.

What can organizations do to identify alternative ways to support individuals affected by these changes?

• Map local resources available in your community
• Community clinics and university student clinics often offer free or reduced basic health screenings and other services that can support individuals without insurance or regular status.
• Churches and other faith groups may provide weekly soup kitchens or food distribution. 

‍