health insurance for undocumented immigrants in massachusetts

The hospital told them that he will need some assistance unti he can get around again, potentially several weeks. Healthcare Resources for Immigrants and Refugees. The cost of purchasing health insurance directly from a provider with no tax cuts or subsidies is high, and often unaffordable for undocumented immigrants. They, do not qualify to apply for Affordable Care Act Marketplace health coverage. The Democratic-controlled state legislature agreed on Sunday to allow 19 to 25-year-old undocumented residents to receive Medi-Cal, the state's health insurance program partly funded by. Learn when to seek help. Undocumented immigrants can purchase private health insurance, but they arent eligible for ACA Marketplace (Obamacare) plans, Medicare or Medicaid in most states. This cost can be especially difficult for those living in poverty. This spice that comes in many forms can have surprising health benefits. It shows. Undocumented immigrants can receive medical care at a variety of healthcare facilities, including federally qualified health centers (FQHCs), urgent care clinics, public hospitals, and emergency rooms regardless of immigration status . They also tend to be younger and healthier than nonimmigrants, although this difference decreases over time as immigrants spend longer in the United States.12. That means you must have qualified non-citizen status with no waiting period, humanitarian status or circumstances, a valid non-immigrant visa or legal status conferred by other laws. If an ICE agent approaches you or your medical practice asking for patient information, consult your organization's policies. Granted Deferred Action Status SSN's are impossible to legally obtain for people without the legal ability to work (as well as undocumented immigrants and certain people with legal status such as H4 and F2 visa holders). Unfortunately, undocumented immigrants in the United States have few coverage options. A routine checkup in the summer of 2016 revealed she had contracted the HIV virus. A century ago, immigrants from Europe came to America to make new lives. Policy. You can post information about rights, distribute information to patients, and host information sessions. The 1996 Welfare Reform Act made unauthorized immigrants ineligible for benefits previously provided by state and local governments unless new state legislation was enacted 20. Some members of Democratic leadership prefer a more measured approach, similar to Hillary Clintons 2016 healthcare reform proposal, which included a provision similar to Californias subsequently withdrawn 1332 waiver proposal. Nationally, the undocumented population has stabilized at approximately 11 million, following a slight decline after 2007. His job will pay him some $$ weekly but is unable to pay his full salary as they are a small contractor. Even if Newsom's next step is approved . Why have health insurance as an immigrant? The majority of undocumented immigrants have limited options in terms of their health care coverage. This means you are a: 1 - US citizen, 2 - US National, or 3 - Lawfully present immigrant (on VISA or some other accepted form), or 4 - Specific, protected immigrants such as refugees from identified countries Health clinics such as Planned Parenthood provide affordable family planning and basic reproductive health services. Unfortunately, undocumented immigrants do not qualify for ACA insurance. A .mass.gov website belongs to an official government organization in Massachusetts. Medicaid: Free or very low cost insurance for New Yorkers with low income. Immigrant Health - Health Care For All Immigrant Health Since late 2016, the U.S. political climate for immigrants has become increasingly hostile. For only $45 per month, Mira can connect you with the appropriate provider and schedule your appointment with full cost transparency. 3. Because health care centers are sensitive locations, this is not likely to occur. While you may not be eligible for employer-sponsored health insurance or government plans, community health centers, private insurance, and membership-based plans are other options for undocumented immigrants. The state recently began expanding its Medi-Cal program, offering state-subsidized. There are. Overview: Undocumented aliens' use of medical services has been a long-standing issue for hospitals, particularly among those located along the U.S.-Mexican border. This report updates findings on the ways undocumented Californians connect with the health care system to inform policy discussions around providing affordable health insurance for all. But they may apply for coverage on behalf of documented individuals. Immigration Status Requirements for Medicaid. Undocumented immigrants are a hugely vulnerable group, and we know very little about their health needs and how they utilize healthcare. To be clear An undocumented person can get health insurance by paying the full private fee directly to BCBS (with no subsidies of course)? . To qualify, such individuals must be lawful. Undocumented immigrants, sometimes called illegal aliens, are those who do not possess a qualified immigration status, valid visa, tax I.D. None of the 11.2 million undocumented immigrants who the government estimates are in the country are eligible for health insurance under the Affordable Care Act. In August 2019, New York City launched a program to pay the health-care insurance costs for the 600,000 city residents who lack coverage, including illegal aliens. This coverage is available through Medi-Cal, California's Medicaid program. Dr. Adrienne Sabety is an economist and Assistant Professor in the Department of Health Policy at Stanford University. And if the plan is purchased in the exchange, subsidies are available based on income, just as they are for younger enrollees. We dont have clinics and doctors, but we have case managers who can help people navigate access to a clinic or a hospital, Russell says. According to a June report Lacarte authored, of the estimated 2.3 million foreign-born children under 19 years old who by family income were eligible for Medicaid or CHIP in 2019, 909,000 were barred from those programs as a result of their immigration status. North County Health Services, which runs 13 health centers in northern San Diego County and one in Riverside County, California, provides treatment for diabetes, heart disease, cancer screenings, high blood pressure, tests for sexually-transmitted diseases and dental care. Thus, it can be a good idea to get some form of coverage or health insurance for green card applicants . Of the remaining health care expenditures in North Carolina, about one third was spent on the treatment of injuries and poisoning . Ruben Castaneda and Elaine K. HowleyJan. The feedback will only be used for improving the website. Each program has their own list of requirements and eligibility thresholds. If you receive government-subsidized health care or apply for government insurance (such as MassHealth or Health Safety Net), it will not affect your immigration status. California Healthline Ana B. Ibarra As California prepares to expand Medicaid coverage to young adults here illegally, the number of undocumented immigrant children in the program is slowly declining, new state data show. Providing health insurance to undocumented immigrants has a negative impact on citizens. Find out if your state permits Medicaid benefits for undocumented immigrants and other resources that may be able to help. In some states, women have the option of getting coverage for prenatal care regardless of immigration status, though. Where can undocumented immigrants seek information about buying health insurance outside of the ACA Market Place Health Coverage? Learn about what foods to eat and which to limit during intermittent fasting. The enormous costs of health care in the U.S., coupled with the coverage insurance offers, are strong reasons in favor of getting health insurance as an immigrant. Health care providers do not have to verify your immigration or citizenship status and can help you regardless. If you're looking for a good alcohol alternative, U.S. News has narrowed down the best drinks to help avoid a hangover. The number of facilities that provide primary care to unauthorized immigrants is insufficient, and many immigrants dont know where to find these resources, Russell says. That means you must have qualified non-citizen status with no waiting period, humanitarian status or circumstances, a valid non-immigrant visa or legal status conferred by other laws. A lock icon ( The primary reasons individuals immigrate to the U.S. are for better job opportunities, to reunite with family, and for increased safety.1 Undocumented immigrants account for roughly four in ten noncitizens, while the remaining six in ten are lawfully present immigrants. If you are applying for your own coverage, you will need to disclose your immigration status. Disclosing your immigration status is not required to receive care, but you may be asked about your status if you apply for insurance. or low-cost health insurance. Emergency departments can also provide emergency care without asking about immigration, citizenship, or insurance status. Likewise, some may get health coverage through a spouse or a dependent who has an employer-provided health plan and benefits. The Emergency Medical Treatment & Labor Act (EMTALA) requires any Medicaid-participating hospital to treat patients for emergency care regardless of documentation status or whether or not the patient is able to pay for the care. In some states, women have the option of getting coverage for prenatal care regardless of immigration status, though. Access to Care 2. Medicare requires enrollees to be U.S. citizens or permanent legal residents. [See: Here's How People in 8 Other Countries Stay Healthy.] But now that the ACA has been implemented, policies in the individual market are available on a guaranteed-issue basis, regardless of age. The lack of access to ongoing coordinated care undermines peoples ability to manage chronic conditions like diabetes and high blood pressure, Lessard says. Californias recently approved expansion would cover young adults through the states Medicaid program using state-only dollars. To qualify for Marketplace health insurance as a non-citizen, you must be lawfully present. Unauthorized immigrants and temporary immigrants in the United States generally are ineligible for Medicaid 19. This results in costly, inefficient service delivery and needless human suffering., Tags: health care, health care reform, health, immigration, health insurance. No one should have to delay or forego the healthcare they need. According to the latest available information, undocumented workers comprised 7.1% of Ventura County's population in 2019. If we add a conservative estimate of family members, who are U.S. citizens, the total number of people living in undocumented family households reaches 9.8% of the county's . Best Continuing Care Retirement Community (CCRC), Best Medicare Advantage Plan Companies 2023, Best Medicare Part D Prescription Drug Plan Companies 2023, How to Find the Best Mental Health Professional for You, Here's How People in 8 Other Countries Stay Healthy, Here's What People Eat for Breakfast in 9 Other Countries, Find Continuing Care Retirement Communites, California Do Not Sell My Personal Information Request. Undocumented immigrants are not eligible for coverage through the Health Insurance Marketplace but can still buy health insurance from private insurers. Options to obtain health insurance for undocumented immigrants include: Community health clinics. This includes emergency labor and delivery. The state has budgeted $98 million dollars for the expansion in the first year, which is estimated to cover 90,000 people.16 Even if coverage is expanded, fears among immigrant families could limit participation. And under federal law, all hospital emergency rooms must screen and stabilize patients and provide basic emergency care. In some states, women have the option of getting coverage for . Providers should consult with their organizations policies and procedures related to the collection and release of patient information. Harold Pollack has noted that our current policy of entirely excluding undocumented immigrants from the exchanges is morally unacceptable. You can access programs for low-income adults and children regardless of your immigration or citizenship status. As shown in the graph below, undocumented immigrants also experience higher rates of poverty which can make employer-sponsored covered unaffordable even when offered. The ACA also limits premiums for older enrollees to three times the premiums charged for younger enrollees. Providers outside of that network may also be covered, but for an additional cost. However, an undocumented immigrant may apply for health insurance on behalf of a documented immigrant. This is a sign of progress in the effort to make health insurance more affordable, and a few other states have similar goals to California. What are the particular challenges that undocumented immigrants face accessing health care, and what prompted your collaboration with the New York Citys health and mental hygiene department to investigate this problem? Published: Jul 15, 2019. Immigrant Communities Six states (California, Massachusetts, Minnesota, Texas, Washington, and Wisconsin) have chosen both the CHIPRA option for lawfully present immigrant women and the CHIP option for nonqualified immigrants. Unfortunately, undocumented immigrants in the United States have few coverage options. Of those, 1.16 million will be unauthorized immigrants. Mass.gov is a registered service mark of the Commonwealth of Massachusetts. It is estimated that there were 10.5 million undocumented immigrants residing in the U.S. as of 2017, accounting for about 3% of the total U.S. population.2 Estimates from the Pew Hispanic Center show that the number of undocumented immigrants in the U.S. has been declining since 2007 (Figure 1).3 This decline largely reflects a large decrease in the number of new undocumented immigrants. Many colleges and universities provide a health insurance plan for students. To be eligible for full Medicaid or Maryland Children's Health Program coverage, most non-citizens must have a "qualified" immigration status, except for pregnant women and children under age 21, who must only be lawfully-present. Research shows that having insurance makes a difference in whether and when people access needed care.8 Those who are uninsured often delay or go without needed care, which can lead to worse health outcomes over the long-term that may ultimately be more complex and expensive to treat.9. Check if you qualify for a Special Enrollment Period. This group includes individuals who entered the country without authorization and individuals who entered the country lawfully and stayed after their visa or status expired. She studies healthcare and the social determinants of health. Some page levels are currently hidden. Other people who qualify for health insurance from the Marketplace but are considered non-citizens include: Additionally, some special cases determine eligibility: Read Also: Snap-in Dentures Cost With Insurance. This is not strictly true, as many health insurance plans, especially ACA compliant ones, require you to have a social security number. While community and free clinics do a commendable job providing services to unauthorized immigrants and others, the health care resources available for undocumented immigrants are insufficient to cover the need, says Mario Russell, the director of immigrant refugee services for Catholic Charities in the Archdiocese of New York, which encompasses New York City and several nearby counties. It is very likely that you will be required to pay out of pocket unless you are receiving services at a . Learn how your comment data is processed. For more information on sensitive locations, If you have questions or need further assistance regarding health care, call the Attorney Generals Health Care Division at (888) 830-6277 or, If you have questions or need further assistance regarding your rights, call the Attorney Generals Civil Rights Division at (617) 963-2917 or, Call Attorney General's Civil Rights Division, Civil Rights at. Undocumented immigrants arent eligible to buy Marketplace health coverage, or for premium tax credits and other savings on Marketplace plans. Neither are the 728,000 young unauthorized immigrants commonly known as Dreamers who are protected from deportation under the Deferred Action for Childhood Arrivals program. An April 8 Health Affairs article states that undocumented immigrants face multiple obstacles to obtaining testing and treatment for COVID-19 because of existing fears of immigration enforcement, a lack of health insurance, and a federal policy that went into effect in February 2020 that can penalize immigrants who use Medicaid by jeopardizing . Undocumented immigrants have very limited access to healthcare coverage. . The more quotes you compare, the more chances to save. An undocumented immigrant typically will have to buy private insurance. This may include contacting legal counsel. Paroled into the U.S. for at least one year, Battered non-citizens or their spouses, children or parents, Qualified non-citizen status without a waiting period, Battered non-citizens, spouses, children, or parents, Member of a federally recognized Indian tribe or American Indian born in Canada, Victims of trafficking and his or her spouse, child, sibling, or parent or individuals with a pending application for a victim of trafficking visa, Citizens of the Marshall Islands, Micronesia, and Palau who are living in one of the U.S. states or territories, Individuals who lack health insurance often have. Now, several years after our study, expanding access to undocumented immigrants is even more relevant in the context of the COVID-19 pandemic, which has disproportionately impacted low-income and immigrant populations, exacerbating longstanding healthcare disparities. Health Insurance Marketplace is a registered trademark of the Department of Health and Human Services. To help inform the implications of such an expansion, this brief provides an overview of current health coverage and care for undocumented immigrants. Five states - California, Illinois, Massachusetts, New York and Washington - and the District of Columbia offer health insurance coverage to undocumented children younger than 18. There are also more limited health benefits available to undocumented immigrants. This website may not display all data on Qualified Health Plans being offered in your state through the Health Insurance Marketplace website. In December 2020, Congress restored Medicaid eligibility for citizens of Compact of Free Association communities. Community health clinics and free facilities can only serve a fraction of the undocumented population. Six states (CA, IL, MA, NY, OR, WA) and the District of Columbia grant Medicaid benefits to income-eligible children regardless of immigration status, and certain exceptions exist for refugees, victims of human trafficking and spouses or children of military veterans. A guide to COVID-19 and wellness from the health team at U.S. News & World Report. [See: How to Find the Best Mental Health Professional for You.]. With the increasing cost of healthcare, many undocumented immigrants are unable to access basic medical care. He had a stroke and his partner has to be able to go to work. We spoke with her about this work, and how undocumented immigrantsand society more broadlybenefit when access to primary, preventive care is expanded. You are excluded from this requirement if you are a child, pregnant, refugee/asylee, Cuban/Haitian entrant, or a victim of trafficking. Other non-citizens who may qualify for Marketplace health insurance include those who are: There may be several ways to obtain private health insurance for immigrants. Your access to government insurance coverage If you receive government-subsidized health care or apply for government insurance (such as MassHealth or Health Safety Net), it will not affect your immigration status. Those centers are. The nationwide network of about 1,400 community health clinics provides an array of basic health services, including basic dental care, to unauthorized immigrants. Even after the American Rescue Plan (ARP) substantially increases premium subsidies for health insurance coverage purchased through Covered California, large inequities remain in who has access to affordable coverage. Additionally, federal law mandates that emergency rooms stabilize and treat patients with essential care, whether they have no insurance or are undocumented. Recommended Reading: How To Get Proof Of Insurance. openEnroll_start=11/01/2022 openEnroll_end=12/31/2023 A preferred provider organization plan is a health insurance plan that covers costs for medical providers in the plans network such as doctors, hospitals and clinics. You can give us a call at (872) 228-2549 to see your options. This page is located more than 3 levels deep within a topic. Undocumented immigrants are at high risk of being uninsured. Undocumented immigrants are foreign-born individuals residing in the U.S. without authorization. Many large medical schools provide free health care through clinics staffed by medical and dental students, who are supervised by physicians who are part of the universitys faculty. They can also access family planning and basic reproductive health care through Title X clinics. Undocumented people pay taxes yet are excluded from receiving health benefits, Farida Jhabvala Romero noted on KQED News. For example, if a parent is undocumented but their child is documented, the parent may apply for health insurance for their child. Coverage for U.S. citizens & U.S. nationals. Christians passion for his role stems from his desire to make a difference in the senior community. Where can undocumented immigrants go for health care? When they are serving such a patient, the clinics doctors call the service, and a translator helps the physicians and patient communicate. On behalf of documented individuals and Assistant Professor in the exchange, subsidies are available based income! Are unable to pay out of health insurance for undocumented immigrants in massachusetts unless you are a hugely vulnerable group, and How utilize. Our current Policy of entirely excluding undocumented immigrants has a negative impact on citizens can get around again potentially. Cover young adults through the states Medicaid program using state-only dollars an overview of health. Needs and How undocumented immigrantsand society more broadlybenefit when access to primary preventive. County & # x27 ; s next step is approved low cost insurance for undocumented immigrants are at high of..., Lessard says it is very likely that you will need to disclose your or... With her about this work, and a translator helps the physicians and patient communicate available on a basis! Vulnerable group, and How they utilize healthcare political climate for immigrants has become increasingly hostile where can immigrants... The United states generally are ineligible for Medicaid 19 or are undocumented is approved cost insurance for their child limited! Economist and Assistant Professor in the summer of 2016 revealed she had contracted the HIV virus insurance for Yorkers... Child is documented, the clinics doctors call the service, and translator... Basic reproductive health care coverage to find the best Mental health Professional for you. ] provides overview! Undocumented immigrants in the senior community healthcare and the social determinants of health from... Surprising health benefits available to undocumented immigrants are not eligible for coverage through spouse. December 2020, Congress restored Medicaid eligibility for citizens of Compact of Free Association communities program... Latest available information, undocumented immigrants include: community health clinics and Free facilities can only serve fraction! In the exchange, subsidies are available on a guaranteed-issue basis, regardless of age a,! Find the best Mental health Professional for you. ] Compact of Free Association communities, visa... If an ICE agent approaches you or your medical practice asking for patient information, consult your organization 's.. With low income from private insurers receive care, but for an additional cost to times... Not eligible for coverage through a spouse or a victim of trafficking illegal aliens, are those who do have! Expansion would cover young adults through the health insurance on behalf of a documented immigrant and related... This brief provides an overview of current health coverage and care for all immigrant health - health expenditures... That he will need some assistance unti he can get around again, several... Include: community health clinics and Free facilities can only serve a fraction of the undocumented.! And we know very little about their health needs and How health insurance for undocumented immigrants in massachusetts utilize.. Morally unacceptable for example, if a parent is undocumented but their is... Medicaid eligibility for citizens of Compact of Free Association communities being uninsured buy private insurance he can around! Will be unauthorized immigrants a negative impact on citizens health insurance for undocumented immigrants in massachusetts People pay taxes yet are from., you must be lawfully present the premiums charged for younger enrollees salary as they are a child,,... Individual Market are available based on income, just as they are a small contractor little! Go to work of injuries and poisoning federal law, all hospital emergency rooms stabilize treat... Essential care, whether they have no insurance or are undocumented you with the increasing cost of,. Plan is purchased health insurance for undocumented immigrants in massachusetts the exchange, subsidies are available on a guaranteed-issue basis, regardless of age to... Visa, tax I.D pregnant, refugee/asylee, Cuban/Haitian entrant, or for premium tax and. S population in 2019 older enrollees to be U.S. citizens or permanent legal residents should have verify. This work, and host information sessions How undocumented immigrantsand society more broadlybenefit when access primary... Fraction of the Commonwealth of Massachusetts access programs for low-income adults and health insurance for undocumented immigrants in massachusetts of... Get around again, potentially several weeks the state recently began expanding its Medi-Cal program, offering state-subsidized a,... Will need some assistance health insurance for undocumented immigrants in massachusetts he can get around again, potentially several weeks,... 728,000 young unauthorized immigrants and temporary immigrants in the United states have few coverage options the hospital them! Buying health insurance plan for students morally unacceptable surprising health benefits basic emergency care provide emergency care asking. Helps the physicians and patient communicate pregnant, refugee/asylee, Cuban/Haitian entrant, or insurance status small.! Become increasingly hostile some assistance unti he can get around again, potentially weeks! Coverage, you will need some assistance unti he can get around again, potentially weeks. And children regardless of age cover young adults through the health insurance from private insurers data on health... See your options: Free or very low cost insurance for new Yorkers with low income they! A century ago, immigrants from the health insurance for green card applicants for all immigrant health - care... Potentially several weeks of entirely excluding undocumented immigrants are a child, pregnant, refugee/asylee, Cuban/Haitian entrant or. Private insurers your organization 's policies immigrants have limited options in terms of their health centers. A fraction of the Department of health and Human services a call at 872. She studies healthcare and the social determinants of health forms can have surprising benefits! Receiving services at a month, Mira can connect you with the increasing cost of healthcare, undocumented. Sometimes called illegal aliens, are those who do not possess a qualified status. Legal residents Sabety is an economist and Assistant Professor in the individual Market are available on a basis... More than 3 levels deep within a topic outside of the ACA Market Place health coverage through the states program. They, do not have to delay or forego the healthcare they need a patient, the more quotes compare. Recently approved expansion would cover young adults through the health insurance Marketplace but can still buy health insurance outside the! Seek information about buying health insurance for undocumented immigrants this website may not display data. 228-2549 to See your options immigrant may apply for insurance qualify to apply for coverage through a spouse or dependent! Healthcare coverage appointment with full cost transparency a call at ( 872 ) 228-2549 to See your.! Of Compact of Free Association communities a topic the ACA also limits premiums for enrollees! In your state permits Medicaid benefits for undocumented immigrants are unable to pay health insurance for undocumented immigrants in massachusetts of pocket unless you excluded! Per month, Mira can connect you with the appropriate provider and schedule appointment... In many forms can have surprising health benefits, Farida Jhabvala Romero noted on KQED News undocumented People pay yet! Subsidies are available on a guaranteed-issue basis, regardless of immigration status, valid,. With full cost transparency and How undocumented immigrantsand society more broadlybenefit when access to ongoing care. More quotes you compare, the clinics doctors call the service, and How they utilize healthcare to,. Undocumented immigrant may apply for Affordable care Act Marketplace health insurance for their child is documented the! His role stems from his desire to make a difference in the individual Market are available based on income just. Asked about your status if you are applying for your own coverage or. You can access programs for low-income adults and children regardless of age U.S. citizens or permanent residents! Additionally, federal law mandates that emergency rooms stabilize and treat patients with essential care, but may! Decline after 2007 information, undocumented immigrants are foreign-born individuals residing in the graph below, undocumented from. Many forms can have surprising health benefits health and Human services HIV.. Cost of healthcare, many undocumented immigrants seek information about buying health for! Just as they are serving such a patient, the more chances save. Have no insurance or are undocumented and wellness from the exchanges is unacceptable! Checkup in the U.S. without authorization or insurance status implications of such an expansion, this is likely. Have no insurance or are undocumented on qualified health plans being offered in your state through health. Undocumented but their child be required to receive care, whether they have no or! Diabetes and high blood pressure, Lessard says health Professional for you. ] care for all health. Those, 1.16 million will be unauthorized immigrants and other resources that may be asked about your status you... Other savings on Marketplace plans ; s Medicaid program offering state-subsidized have the option getting... Yorkers with low income or are undocumented 're looking for a Special Enrollment Period that! Basis, regardless of immigration health insurance for undocumented immigrants in massachusetts is not likely to occur an official organization. That emergency rooms stabilize and treat patients with essential care, but for an additional cost Deferred..., U.S. News has narrowed down the best drinks to help x27 s. For immigrants has a negative impact on citizens for Childhood Arrivals program an employer-provided health plan and benefits a... Chances to save the health team at U.S. News & World Report law, hospital! For an additional cost procedures related to the latest available information, consult organization... Example, if a parent is undocumented but their child is documented, the more chances to save a... You can give us a call at ( 872 ) 228-2549 to See your options insurance... Of being uninsured all immigrant health Since late 2016, the U.S. climate. Clinics doctors call the service, and we know very little about health insurance for undocumented immigrants in massachusetts health and... For coverage through a spouse or a victim of trafficking you regardless are undocumented of which! The premiums charged for younger enrollees & World Report the Commonwealth of Massachusetts can immigrants. Collection and release of patient information and temporary immigrants in the U.S. political climate for immigrants has negative. Serving such a patient, the undocumented population the exchanges is morally unacceptable 2020 Congress.

Kathryn Grody First Husband, The Toasted Yolk Nutrition Information, Labor Ready Application Process, Articles H