protection act and affordable care act have aimed at expanding health insurance coverage to refugees through the medicaid program or health insurance marketplaces, but healthcare access differ between states because the states have implemented their health insurance programs differently. the paper suggests that the department of health and human services could provide subsidies to refugees seeking to purchase health exchanges, and during the screening process, federal agencies could also consider health status when resettling refugees and place them into states with more suitable health insurance policies. according to a 2018 study on healthcare access barriers, though refugees have access to free healthcare services from federally qualified health centers (fqhcs), nonprofit hospitals and general assistance (ga), specialist care like dentist and eye care are often unaffordable. moreover, lack of insurance is associated with reduced access to healthcare and according to data from the national survey of american families, 22 percent of immigrant children are uninsured, more than twice the rate for u.s. born citizens.