Is Health Insurance Mandatory for Green Card Applicants?
Health insurance is not currently a general legal requirement for obtaining a U.S. Green Card. However, many Green Card applicants and immigrant visa applicants ask this question because Presidential Proclamation 9945, issued in October 2019, proposed that certain immigrant visa applicants demonstrate they would have approved health insurance within 30 days of entering the United States or have the financial resources to pay for reasonably foreseeable medical costs.
Today, health insurance remains strongly recommended because healthcare in the United States is expensive. Many new immigrants purchase temporary immigrant health insurance to help cover eligible medical expenses until they become eligible for employer-sponsored or other long-term health insurance.
Having health insurance strengthens your green card application as it demonstrates that you have planned for your healthcare needs and financial well-being after arriving in the United States, making it an important part of preparing for life as a new permanent resident. While immigration decisions are based on the applicable laws and the facts of each individual case, many new immigrants view health insurance as an important part of their overall financial planning and preparation for living in the U.S.
Public Charge Inadmissibility Rules Effective September 18, 2026
The new public charge rule applies to people applying for a Green Card. If an immigration officer believes that an applicant may not have enough financial resources and is likely to depend heavily on government assistance, the application could be denied. In some cases, the applicant may be asked to pay a public charge bond.
The immigration officer may look at whether the applicant has received certain government benefits, including cash assistance, housing assistance, food assistance, financial aid for college, or other means-tested public benefits.
According to the Department of Homeland Security (DHS), there is an important difference based on when the benefits were received:
- Benefits received before September 18, 2026: USCIS will generally consider the applicant's receipt of public cash assistance for income maintenance and long-term institutionalization at government expense.
- Benefits received on or after September 18, 2026: USCIS may consider any means-tested public benefits received by the applicant.
- USCIS will review the applicant's complete financial and personal circumstances and make a decision on a case-by-case basis.
In simple terms, the new rule means that Green Card applicants may face greater scrutiny of their use of government benefits after September 18, 2026. Applicants should understand which benefits may affect their immigration case and consider seeking advice from a qualified immigration professional if they have questions about their individual situation.
For more information about coverage options, costs, eligibility, and temporary medical insurance plans, see our Health Insurance for Green Card Applicants page.