I recently had a client inquire as to whether her enrollment in San Francisco's "Healthy Families" health insurance plan would endanger her green card application because she might be considered a "public charge." I originally thought it would be a problem but it turned out not to be.
San Francisco has a health insurance program called "Healthy Families." It is for uninsured children and low income individuals living in San Francisco. Members pay a small monthly fee and the program is partly funded by the government.
Under Section 212(a)(4) of the Immigration and Nationality Act (INA), an individual seeking admission to the United States or seeking to adjust status to that of an individual lawfully admitted for permanent residence (green card) is inadmissible if the individual, "at the time of application for admission or adjustment of status, is likely at any time to become a public charge."
An individual becomes a "public charge" when he or she is likely to become primarily dependent on the government for subsistence, as demonstrated by either the receipt of public cash assistance for income maintenance or institutionalization for long-term care at government expense.
USCIS has a very extensive article on their website that discusses what type of benefits, if received, would and would not be relevant in a determination concerning public charge. Non-cash benefits (other than institutionalization for long-term care) are generally not taken into account for purposes of a public charge determination. Specifically regarding San Francisco Healthy Families, USCIS states that Healthy Families benefits "are not considered for public charge purposes."
