The AHA and five other hospital groups today filed a friend-of-the court brief urging the U.S. District Court for the Northern District of California to prevent the Department of Homeland Security’s public charge rule from taking effect Oct. 15. The rule would force millions of immigrants “to choose between accepting public services and accepting a green card … an impossible choice,” the brief states. 
 
“The Public Charge Rule — and the resulting fear of being labeled a public charge — will discourage legal immigrants and their family members, some of whom are citizens, from using public benefits they are legally entitled to — millions more than DHS acknowledges in in the Rule. One report estimates that as many as 13.2 million Medicaid and Children’s Health Insurance Program enrollees could disenroll from these programs as a result of the Rule.”
 
The brief adds, “These are not abstract numbers, but real people who will be forced to forego public benefits to which they are legally entitled and endure worse health outcomes, loss of prescription medication, increased rates of poverty and housing instability, and impaired development of their children. Although the Public Charge Rule will have the greatest impact on immigrant communities, the hospitals that serve them will also be affected. Coverage losses will lead to sicker immigrant populations and increased emergency-room visits, forcing hospitals to provide more uncompensated care and divert resources from expanding access to health care and other community services. … In sum, the Public Charge Rule contradicts Congress’s intent to reduce the number of uninsured residents and even undermines the very self-sufficiency goals it sets out to achieve.”
 
The city of San Francisco and Santa Clara County have asked the court to invalidate the final rule and prevent it from taking effect while the case proceeds. Two other lawsuits have also been filed in the same court; one by the attorney general of California and the other by nonprofits serving immigrant communities and advocacy organizations. The hospital groups filed their amicus brief in all three cases.

Perspective
Public
Few patient populations are more vulnerable to the shifting winds around health care today than Medicare beneficiaries who need specialized, high-acuity and…
Headline
The AHA will host a webinar April 16 at 1 p.m. ET featuring leaders from CHRISTUS Health and The Urology Group to share how nurse-first triage and smarter…
Headline
The Centers for Medicare and Medicaid Services April 8 issued guidance on implementing a provision within the reconciliation bill passed in July 2025 regarding…
Headline
The Centers for Medicare & Medicaid Services April 2 announced the release of new data on health care utilization and prices at the provider and service…
Perspective
Public
Just 23 days from now, more than 1,000 hospital and health system leaders from across the country will arrive in Washington, D.C., for the 2026 AHA Annual…
Headline
An American Heart Association study published March 25 found that children born to mothers with premature placental separation could be at higher risk of heart…