Yes—you can get coverage through NY State of Health as a green-card holder, and enrolling now does not create a separate public-charge test for your citizenship application.

Qualified Health Plan eligibility

Qualified Health Plans are available through NY State of Health to individuals who are: New York State residents Lawfully present in the U.S.

Dates and applicability

The final rule is effective on September 18, 2026. This rule applies to applications for admission made on or after September 18, 2026 or applications for adjustment of status postmarked or electronically submitted on or after September 18, 2026.

Discussion of LPR status and naturalization

DHS notes that in general, once it makes an inadmissibility determination and grants admission as an LPR at a POE or approves an alien's application to adjust status to that of an LPR, it does not reevaluate inadmissibility. However, in the context of naturalization, for example, USCIS may, in assessing whether an applicant was lawfully admitted for permanent residence, evaluate whether the alien was admissible at the time of admission or adjustment of status.

Response concerning healthcare and premium tax credits

Healthcare services aliens pay for without government subsidization would not be considered. With the 2022 Final Rule rescinded, officers have discretion to consider all facts and circumstances in an individual case, which could also include circumstances surrounding receipt of government provided or subsidized healthcare — whether CHCs, FQHCs, or PTCs relied on by the alien. DHS will consider all means-tested public benefits, including Medicaid and State-funded healthcare in the totality of the circumstances, also taking into consideration all other factors and considerations relevant to such determination described in previous responses.

A.3; footnote concerning returning LPRs

An LPR who travels abroad does not undergo another public charge inadmissibility determination upon return to the United States unless CBP determines that the returning LPR is an applicant for admission based on one of the criteria set forth in INA 101(a)(13)(C) (for example, CBP determines that the alien has been absent from the United States for more than 180 days).

A. Lawful Permanent Resident Admission

Section 318 of the Immigration and Nationality Act (INA) requires a naturalization applicant to show that they have been lawfully admitted to the United States for permanent residence in accordance with all applicable provisions of the INA in effect at the time of admission or adjustment. This requirement applies to the applicant’s initial admission as a lawful permanent resident (LPR) or adjustment to LPR status.

Reporting a qualifying event

Generally, you must report a Qualifying Life Event to NY State of Health within 60 days. You may need to provide proof of the Qualifying Life Event to your new health plan.

Qualifying Life Events

• Loss of health insurance (for reasons other than you did not pay your premium) • A permanent move into New York State or a move within the State that makes new health plans available to you (you must have had other coverage within the past 60 days)

Overview and enrollment

NY State of Health's Essential Plan includes comprehensive benefits with $0 monthly premiums and very low-cost sharing. Has continuous open enrollment, meaning you can enroll at any time during the year through NY State of Health.

Reporting changes and filing a tax return

If you benefit from advance payments of the premium tax credit, it is important to report life changes to the Marketplace as they happen throughout the year. For tax years other than 2020, if you get the benefit of advance credit payments in any amount – or if you plan to claim the premium tax credit – you must file a federal income tax return and attach Form 8962, Premium Tax Credit (PTC), to your return.