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Trump Immigration Bill Cuts Medicare for 100,000 Legal Immigrants Who Paid Taxes

A new Trump administration bill will cut Medicare coverage for about 100,000 legal immigrants who have worked and paid taxes for years. The One Big Beautiful Bill Act removes Medicare eligibility for most lawfully present immigrants, regardless of how long they contributed to the system.

April 6, 20264 sources2 min read

The Trump administration's One Big Beautiful Bill Act will eliminate Medicare coverage for an estimated 100,000 legal immigrants who have worked and paid taxes in the United States.

Rosa María Carranza represents thousands facing this change. She worked and paid taxes for more than two decades, expecting Medicare coverage in retirement. Now her financial security is uncertain.

The new law restricts Medicare eligibility to only certain categories of immigrants. All other lawfully present immigrants lose coverage, even if they worked for years and contributed to the Medicare system through payroll taxes.

Immigrants currently enrolled in Medicare must be disenrolled by January 4, 2027, giving them less than 18 months to find alternative coverage.

The policy reverses previous protections for legal immigrants who contributed to the system. Many affected immigrants are seniors who cannot easily replace their health coverage through other means.

Why this matters

Legal immigrants who followed the rules and paid into Medicare for decades will lose their health coverage. This affects seniors like Rosa María Carranza, who worked over 20 years but now faces retirement without the Medicare she earned through her contributions.

What to watch

Current Medicare recipients have until January 4, 2027 to transition off coverage and find alternative health insurance.

Sources
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This story was written with AI based on reporting from the sources above. For the complete story, visit the original sources.

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