Some cities require anyone who wants to open a public utility account—lights, gas, water, phone—to provide a Social Security number, government-issued ID or some form of proof they are in the country legally. For some immigrants, this means doing without utilities, even if they are in the country legally.
Any federal legislation that shifts so many decisions to the states are likely to turn state capitals into political battlegrounds, pitting one constituency against another for access to affordable health care.
A suit in California says the state’s Medicaid program pays doctors so poorly, the mostly Hispanic patients that use the program aren’t getting timely access to quality medical care. Lawyers working on the case believe it is the first to sue Medicaid using a state anti-discrimination statute.