Under the proposed expanded definition, immigrants considered likely to use Medicaid, supplemental nutrition assistance, or housing support could potentially be denied lawful permanent residence.2 As primary care residents at an academic, urban, safety-net hospital, we directly witnessed the impact of the proposed rule change. Patients missed more appointments, their fears surrounding deportation having escalated, and families suddenly needed to weigh their immigration status against their health, housing, and food security … Download the full article below.