October 1 Medicaid Changes: Join LSS-SW in Advocacy
Stand with Refugee Neighbors Facing Health Coverage Loss
Beginning October 1, 2026, federal Medicaid changes will put many refugee families at risk of losing comprehensive health coverage. Lutheran Social Services of the Southwest (LSS-SW) invites congregation members and leaders to advocate with elected officials—and offers help arranging and leading those conversations.
The changes stem from H.R. 1, known as the One Big Beautiful Bill Act, which restricts federal Medicaid funding for certain immigration categories. Refugee status alone will no longer qualify someone for federally funded comprehensive coverage; people who have become lawful permanent residents may remain eligible if they meet other requirements. The change takes effect October 1 under federal law.
In Arizona, AHCCCS says affected refugees and other humanitarian groups will be limited to emergency services and will receive notices explaining their options. Emergency coverage does not replace ongoing care. Read AHCCCS’s explanation of the changes.
For families rebuilding their lives, losing coverage can mean interrupted treatment, higher costs, and difficulty continuing with a trusted doctor. LSS-SW warns that families may face longer travel distances and language barriers as they seek affordable care. Those obstacles can compound the challenges of managing chronic illness and meeting everyday needs.
Our Lutheran faith calls us to love and serve our neighbors in response to God’s grace. That calling includes speaking up when public policies threaten access to essential care.
You do not need advocacy experience to participate. LSS-SW can reach out to your representatives, set an agenda, and lead a meeting with you present. Federal lawmakers need to hear how these decisions affect families, and state legislators need to understand the consequences in their communities.
Email Jay Eberle at jeberle@lss-sw.org to introduce yourself and request help arranging a meeting. Invite others from your congregation to join you in advocating for refugee neighbors’ access to care.
