New Public Charge Rules Have Chilling Effects on Immigrants and Their Children
Pakistani American families face fresh uncertainty as an expanded federal rule nears its September 18 rollout
By Tariq Khan | Pakistan Chronicle
A Rule With Broad New Reach
A revived and dramatically expanded public charge rule is already reshaping decisions inside Pakistani American households, immigration and health policy experts said during a national news briefing hosted by American Community Media (ACoM) on Friday, August 7. The rule, scheduled to take effect September 18, hands federal immigration officials wide discretion to deny green card applications from immigrants who use, or who officials judge are likely to use, public benefits such as Medicaid, housing assistance, or food stamps.
The virtual briefing, moderated by ACoM’s Sunita Sohrabji, drew reporters from ethnic and community media outlets across the country, reflecting how directly the policy touches immigrant communities nationwide, including South Asian families navigating green card sponsorships, work visas, and mixed-status households. Simultaneous interpreting was offered in Korean, Mandarin, and Spanish, underlining how widely the rule is expected to be felt, even as many other immigrant communities, including Urdu speakers, must rely on English-language coverage to stay informed.
A Chilling Effect Before the Rule Even Takes Hold
Panelists stressed that the damage has already begun. Even though the rule is not yet in force, fear of it has pushed immigrant families to quietly withdraw from safety-net programs meant for food and medical care, out of concern that enrollment could later be held against a relative’s immigration case. Joan Alker, executive director of Georgetown University’s Center for Children and Families, pointed to falling Medicaid and Children’s Health Insurance Program (CHIP) enrollment as early evidence of the pullback, and shared her organization’s state-by-state enrollment tracker so reporters could check the numbers in their own coverage areas.
What Counts as “Public Charge” — and What Doesn’t
Much of the discussion focused on separating fact from fear. Xiao Wang, co-founder and CEO of Boundless Immigration, told reporters that applying for public benefits on behalf of a U.S. citizen child remains fully lawful, does not make a parent a public charge, and does not cost the child anything. At the same time, he acknowledged that in the current enforcement climate, no attorney or advocate can promise a family zero risk, a caveat that has left many parents weighing the letter of the law against the anxiety of living under it.
Wang also clarified a point of confusion raised repeatedly by reporters: because public charge was revived through executive action rather than new legislation, a future presidential administration, not necessarily a new Congress, would hold the clearest path to reversing it.
Beyond Green Cards: Health and Food Security
Dr. Giridhar Mallya, senior policy officer at the Robert Wood Johnson Foundation, broadened the discussion to public health, citing national tracking data showing families losing food assistance following recent federal budget changes and urging reporters to look at congressional-district-level data to localize the story. He noted that pediatricians and family doctors are increasingly the first to see the fallout, as parents skip check-ups or drop coverage for citizen children rather than risk a relative’s immigration file. Community advocates on the call also raised concerns specific to states like Texas, where local outreach around CHIP enrollment already struggles to reach low-income and minority families, a challenge panelists said the new rule will likely deepen.
What Families Can Do Now
Panelists urged families with pending green card applications to file before the September 18 deadline where possible, and to seek guidance from qualified, low-cost or free legal help rather than relying on rumor. Reporters were pointed to the American Immigration Lawyers Association (aila.org) and the Immigration Advocates Network’s legal directory for vetted referrals. Above all, panelists said, families should not assume that a citizen child’s need for health coverage or food assistance must be sacrificed to protect a parent’s immigration case; the two, they stressed, are legally separate, even if they no longer feel that way to families living with the rule’s uncertainty.
About the Speakers

Joan Alker | joan.alker@georgetown.edu
Joan Alker is the Executive Director and Co-Founder of the Center for Children and Families (CCF), and a Research Professor at the Georgetown University McCourt School of Public Policy. She is a nationally recognized expert on Medicaid and the Children’s Health Insurance Program (CHIP) and is the lead author of CCF’s annual report on children’s health care coverage trends. Alker has published in journals such as JAMA and Health Affairs and has written numerous reports, blogs, and other commentary on issues including Medicaid Section 1115 waivers, child and family health, the role of Medicaid in rural areas, and premium assistance for the Kaiser Family Foundation. She has testified before Congress, served on federal expert advisory panels, and is routinely quoted in outlets including the New York Times, NPR, Politico, the Washington Post, the Wall Street Journal, and Kaiser Health News. Alker holds a Master of Philosophy in politics from St. Antony’s College, Oxford University, and a Bachelor of Arts with honors in political science from Bryn Mawr College.
Xiao Wang | xiao@boundless.com

Xiao Wang is the co-founder and CEO of Boundless Immigration, helping families navigate their immigration journey with confidence. Prior to Boundless Immigration, he held leadership roles at Amazon Go, Providence Equity, NYC Department of Education, and McKinsey. Xiao holds a BA/MS from Stanford University and an MBA from Harvard Business School.
Dr. Giridhar Mallya | gmallya@rwjf.org

Giridhar Mallya, MD, MSHP, is a public health physician whose career spans government, philanthropy, and academia. His work leverages the power of public policy and community health interventions to shape the political, social, and economic determinants of health. He currently serves as Senior Policy Officer for the Robert Wood Johnson Foundation, where he leads a national initiative to defend racial equity, diversity, and inclusion in health and other sectors. Over ten years at the Foundation, Dr. Mallya has designed and managed grants totaling $215 million, expanding RWJF’s policy footprint to issues such as housing justice, democracy, and tax policy while diversifying its strategies to include impact litigation, community organizing, and building policy infrastructure.