On Oct. 10, 2019, the White House announced a proposed “public charge” rule that will endanger the health, safety and well-being of children across the nation.
Here are five things to know about the 2019 public charge rule and its impact on kids.

1. Public Charge Isn't New
Public Charge isn’t new, but the proposed changes impact more people who are playing by the rules. Currently, “public charge” is a determination used by U.S. immigration officials to refer to someone who is, or is likely to become, primarily dependent on the government by using cash welfare assistance such as Temporary Assistance for Needy Families (TANF) or federal assistance to pay for long-term institutional care under Medicaid.
Being designated a “public charge” can negatively affect a prospective immigrant’s application to enter the country and legal immigrants living in the U.S. applying for legal permanent residency.
The proposed regulations recently issued by the Department of Homeland Security would drastically expand the definition of “public charge” by including both cash and non-cash public benefits such as health care, food assistance and housing programs. It’s important to note that legal immigrants can only qualify for these non-cash benefits after they’ve lived in the U.S. for at least five years and have met all requirements.
Under this new rule, an immigrant’s legal status would be jeopardized by using services like food assistance, such as the Supplemental Nutrition Assistance Program (SNAP), housing vouchers or Medicaid. An immigrant’s legal status could even be at risk if immigration officers determine that the individual is likely to use any of these public benefits in the future.
2. Kids Could Face More Hunger
Kids could face more hunger, homelessness and poverty. If adults are discouraged from using SNAP or lose access to the program, the entire family will have less food available, putting them at risk of hunger. According to the Urban Institute, in 2015 alone the SNAP program itself lifted 3.8 million children out of poverty, demonstrating the critical role this program plays in ending childhood hunger. Similarly, if a parent loses housing assistance, the whole family could face housing instability and worse, homelessness.
3. More Kids Will Be Sick
Families forgoing critical medical assistance or withdrawing from these programs will face worse health outcomes, including increased chronic conditions and malnutrition among children.
Lack of proper healthcare could also increase the prevalence of communicable diseases and a failure of adhering to vaccination schedules.
Analysis shows that if Medicaid and CHIP disenrollment rates range from 15 percent to 35 percent, up to 2 million kids with a noncitizen parent could drop this critical medical coverage despite remaining eligible for these programs.
4. Kids' Education Will Suffer
Kids’ education will suffer. When kids don’t get the nutrition they need they’re less likely to concentrate in school, reducing their productivity and educational outcomes. Research shows that kids who have early access to SNAP benefits are more likely to graduate from high school than those who didn’t.
According to the American Academy of Pediatrics, children covered by Medicaid and CHIP miss fewer school days due to illness, perform better in school and are more likely to graduate and attend college.
5. The 2019 Proposed Rule Will Create a "Chilling Effect"
The proposed rule will cause harm to the health and well-being of thousands of children, citizens, and immigrants alike. Local charities and emergency systems will be strained as families turn to emergency rooms, food banks, and shelter for help. Schools will be impacted by children who show up to class with empty stomachs, unable to concentrate and learn.
In addition to the impact on kids across the country, this rule will have a much broader chilling effect. It would force parents to make a terrible choice: Forgo services like food or medical care or live in fear that their families will not be able to stay together in the U.S.
That’s because many families will avoid using benefits that they are legally eligible for, including critical child nutrition programs, out of fear or confusion whether or not they are directly affected by the policy changes.
Join No Kid Hungry in telling the Department of Homeland Security how this rule would increase hunger in communities across our nation.
Resources:
2018-2019 Public Charge Rule:
- 2018 STATEMENT: Share Our Strength’s Lisa Davis on “Public Charge” rule
- 2019 STATEMENT: White House “Public Charge” Rule Will Put Kids at Risk of Hunger
- 2019 Public Charge Rule: 5 Things to Know & It's Impact on Kids
2021-2022 Public Charge Rule Reversal & Final Ruling:
- 2021 New Report Shows that Fear in Immigrant Communities Kept Children from Getting the Food They Needed
- 2022 REPORT: Public Charge was Reversed - But Not Enough Immigrant Families Know
- 2022 STATEMENT: Share Our Strength’s Lisa Davis on the Reversal of the “Public Charge” Rule
2025-2026 Proposed Public Charge Rule & Policy Discussions
- Public Charge Rule: Don’t Make Parents Choose Between Food and Their Families
- 2025 New Federal Rule Change Could Keep Millions of Kids from Food