TY - JOUR A1 - Hamilton, Christal A1 - Bachmeier, James A1 - Altman, Claire A1 - Spence, Cody T1 - Legal status and health disparities: An examination of health insurance coverage among the foreign-born Y1 - 2022/09/20 JF - Demographic Research JO - Demographic Research SN - 1435-9871 SP - 453 EP - 488 DO - 10.4054/DemRes.2022.47.16 VL - 47 IS - 16 UR - https://www.demographic-research.org/volumes/vol47/16/ L1 - https://www.demographic-research.org/volumes/vol47/16/47-16.pdf L2 - https://www.demographic-research.org/volumes/vol47/16/47-16.pdf N2 - Objective: This paper employs a statistical matching procedure to impute the legal status of foreign-born adults in US Census surveys in order to estimate migration status disparities in health insurance coverage. Methods: Using data from the Survey of Income and Program Participation, we impute the legal/citizenship (migration) status of immigrants in the National Health Interview Survey. Results: Results from the pooled data document disparities in health insurance coverage among four citizen/legal status groups: naturalized citizens, lawful permanent residents, legal nonimmigrants, and unauthorized immigrants. Naturalized citizens had the highest rate of health insurance coverage, followed by legal immigrants, legal nonimmigrants, and unauthorized immigrants. Contribution: The paper presents revised pre–Affordable Care Act (ACA) estimates of health insurance coverage among the foreign-born that are crucial for evaluating the impact of the ACA on reducing or exacerbating disparities in health coverage among migration status groups. ER -