Other Attacks on Immigration and Healthcare

Update: January 29, 2021

CPR joined an amicus brief in the Ninth Circuit Court of Appeals, led by the National Health Law Program, opposing President Trump’s health insurance proclamation and arguing that the case should be reconsidered. Below is an overview of the proclamation and the State Department’s attempted implementation.


On October 4, 2019, President Trump issued a proclamation mandating that visa applicants abroad buy certain approved health insurance or have the financial means to cover foreseeable medical expenses. The proclamation limits approved health insurance to plans that typically don’t meet the needs of people with disabilities and conflicts with several existing laws, including the Affordable Care Act.

The State Department then submitted an emergency effort to implement the proclamation at the end of October, leaving less than 48 hours for public comment on the proposed implementation. We submitted comments urging the State Department to reconsider those efforts, and a complaint challenging the proclamation’s legality was filed in a federal district court in Oregon. Implementation of the proclamation was set to begin on November 3, 2019, but was blocked initially through a temporary restraining order that was set to expire at the end of November.

On November 26, 2019, the court granted a preliminary injunction, preventing the proclamation from going into effect while the litigation is ongoing, because, in the words of the court, the proclamation “does not contain any specific findings supporting the conclusion that its implementation will have any effect on the problem that it is purporting to address” and the “irreparable harm” it would cause “is immediate and significant.” In July of 2020, a federal district court in New York issued a temporary injunction against President Trump’s health insurance proclamation and the State Department’s rule implementing that proclamation, joining the court in Oregon in determining that the State Department’s rule should not be allowed to move forth while litigation is ongoing.

In February of 2020, CPR joined Disability Rights California and six other disability advocacy organizations in an amicus brief filed in the Ninth Circuit Court of Appeals in opposition to President Trump’s proclamation, arguing that it will not only fail to accomplish its purported purpose, reducing uncompensated care costs, but will do so in a way that illegally discriminates against people with disabilities. 

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