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Public Charge

Updated in February 2026

“Public charge” is a term used in immigration law to describe people who are heavy users of government services for their basic needs. The federal government has proposed a rule change that would change how it decides who can immigrate or become lawful permanent residents of the United States based on their likelihood of becoming “public charges.” This rule change has not been made final. Covered California is watching the situation closely, and we will give you updates if there are any changes.

Currently, applying for health insurance through Covered California or having insurance through Medi-Cal will not:

  • Change your current immigration status,

  • Hurt your chances of becoming a lawful permanent resident, or

  • Hurt your chances of becoming a U.S. citizen.

The only time having Medi-Cal could affect your immigration status is when both these things are true:

  • You are entering the U.S. or applying for lawful permanent residence, and

  • Medi-Cal is paying for your nursing home or other long-term care in a facility.

This type of government-paid care can be considered in a public charge test when an immigration agency reviews your application to enter the U.S. or become a lawful permanent resident.

Resources

The United States Citizenship and Immigration Services (USCIS) updated its public charge regulation in 2022. Please visit the USCIS website for additional information.

For more information on public charge, see the National Immigration Law Center's factsheet.