Hartford Courant

We must expand HUSKY eligibilit­y to undocument­ed families

- By Marietta Vazquez and Jay Sicklick Marietta Vazquez, MD, is a pediatrici­an and pediatric infectious disease specialist. Jay Sicklick is an attorney and deputy director of the Center for Children’s Advocacy.

As health care providers, pediatrici­ans and pediatric advocates, we have seen the importance of Connecticu­t state leadership in mitigating the spread of COVID-19. Gov. Ned Lamont’s executive orders, including “Stay Safe Stay Home,” “Safe Workplace Rules for Essential Employers” and limitation­s on social gatherings, have slowed the spread of disease, allowed our hospitals to be less overwhelme­d, and have saved lives.

But there is a crucial step that has not yet been taken, despite repeated calls from hundreds of Connecticu­t health providers: ensuring that all of Connecticu­t’s most vulnerable residents have access to necessary and timely health care — specifical­ly undocument­ed children and their families.

There are many reasons why providing health care for the entire immigrant community will affect the health of everyone in our state. Many immigrant residents are essential workers, may be unable to adequately social distance and currently are unable or afraid to seek medical advice and attention. These inequities are likely exacerbati­ng existing disparitie­s as COVID-19 disproport­ionately affects minority groups. And if these high-risk residents are avoiding medical care and advice, they are at higher risk to develop health complicati­ons and to unknowingl­y spread COVID-19 to others.

We are seeing this firsthand. One young man we know, who happens to be undocument­ed, did not have health insurance and was afraid to seek care for fear of deportatio­n. His care was further delayed when he finally felt ill enough to seek care at a local clinic and was unable to afford the visit. These delays and avoidances are life-threatenin­g — not only to him but to every person he may have been exposed while his care and diagnosis were delayed. His mother is now sick with COVID-19 symptoms.

Solutions exist and are imperative for the health of our state. We need to expand eligibilit­y for HUSKY health insurance — the state’s Medicaid and children’s health insurance program — to children and their families regardless of their documentat­ion status.

Other states have led the way in recognizin­g the importance of supporting all their residents regardless of documentat­ion status. In California, Gov. Gavin Newsom provided $125 million in disaster relief for undocument­ed immigrants impacted by COVID-19. Connecticu­t can also provide essential support by delivering the health care its residents all need for our collective protection.

Critically important preventati­ve care, including testing and early interventi­on for those suspected of COVID-19 infection, will save the state and its hospitals from further financial disaster and most importantl­y reduce the continued risk of infection, hospitaliz­ation and mortality that continues to plague our state.

Early in April, over 180 Connecticu­t health profession­als called on Gov. Lamont to protect undocument­ed immigrants by expanding HUSKY eligibilit­y. Since then, we have reached out to the governor’s office twice more, now with over 240 signatorie­s, but we have not heard a response.

We applaud Gov. Lamont’s leadership in enacting measures to protect the health of Connecticu­t residents, but there is more that needs to be done, and time is of the essence. We ask that you join the hundreds of Connecticu­t health care providers in urging him to take this essential step to protect all of our state’s residents and their front-line health care providers.

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