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Maryland
Maryland lawmakers approve easier path for undocumented immigrants to buy insurance
Maryland lawmakers are on track to allowing undocumented immigrants to buy health insurance on the stateâs insurance exchange â though theyâll still need to pay full price and wonât get any government subsidies.
The Maryland Senate gave approval to the change on a 34-13 vote on Friday afternoon. That followed approval in the House of Delegates on a 101-34 vote in late February.
A few largely procedural steps remain â each chamber passing the otherâs version â before the measure goes to Gov. Wes Moore for his consideration.
The goal of the change is to help make a dent in the stateâs population of people who lack health insurance.
About 6.1% of state residents are uninsured, and officials estimate that about 30% of them â 112,000 â are immigrants who lack legal documentation. Theyâre currently banned from using the state health insurance exchange to shop for and purchase insurance plans.
âIt helps some people who get sick, get better. Nothing wrong with that,â said Sen. James Rosapepe, a Prince Georgeâs County Democrat, as he explained his vote on Friday.
âWeâre excited that, pending approval from the federal government, all Maryland residents will be able to use Maryland Health Connection to compare and purchase private health plans,â said Michele Eberle, executive director of Maryland Health Benefit Exchange.
The health exchange already has a version of the site in Spanish and a Google translate feature for other languages, as well as a call center capable of offering help in more than 200 languages â all in an effort to make buying insurance as accessible as possible.
If the bill withstands the final steps of the legislative process and is approved by the governor, the state would have to ask the federal government for a waiver to allow undocumented immigrants to use the health exchange. If that waiver is granted, it could take until 2026 for the health exchange to begin accepting undocumented immigrants, according to a nonpartisan analysis of the bill.
Opening the health exchange up to undocumented immigrants would not initially cost the state any money, as no subsidies are involved and the exchange reported that it can accommodate any increased demand with existing staffing and resources.
The bill spurred contentious debate in the House of Delegates, with Del. Mark Fisher, a Calvert County Republican, calling it an âabsurdly ridiculous bill.â
Del. Joseline Peña-Melnyk, chair of the health committee, said itâs the latest step in attacking the stateâs rate of uninsured residents. Before the federal Affordable Care Act â dubbed âObamacareâ by many â the state had 756,000 people who were uninsured.
Peña-Melnyk described a series of subsequent actions that have brought the number of uninsured down to 350,000 people: Expanding Medicaid, funding plans on the health exchange with a tax on insurance companies, expanding subsidies for young adults and using tax returns to connect eligible people to the health exchange.
Helping people get insurance plans means better care for them and lower costs for the whole system, said Peña-Melnyk, a Democrat whose district includes parts of Prince Georgeâs and Anne Arundel counties.
âWhere are these people going to get their care? You know where they go?â she asked. âThey go to the emergency room. Maryland has the worst emergency wait times in the entire nation.â
The Access to Care Act was supported by four of the key caucuses in the General Assembly: the Asian American Pacific Islander Caucus, the Maryland Legislative Latino Caucus, the Legislative Black Caucus of Maryland and the Maryland Legislative Jewish Caucus. The caucus leaders wrote in a letter of support that the bill is âa financially responsible solution to improve healthcare access and affordability.â
They also noted that the bill will help families of mixed status, meaning some are legal residents and others are not. âThis inclusive approach recognizes the diverse makeup of our communities and addresses the logistical and emotional barriers these families face in securing health coverage,â the caucus leaders wrote.
In the Senate, some Republicans raised concerns that Maryland has continually made the state more welcoming for people to come here illegally.
âWeâve done everything imaginable to have a flashing neon sign that says, âHey, come here!,ââ said Sen. Justin Ready, a Carroll County Republican. The stateâs infrastructure just canât handle the needs of more undocumented immigrants, he said.
âWe canât continue to throw out a welcome wagon and add more and more cost to our citizens,â he said.
But supporters counter that the measure will actually save money.
When people without insurance need care, they go to emergency rooms that are required to help them regardless of ability to pay. The costs of that uncompensated care are spread out among everyone else who has insurance.
âWhat that means is all of us end up paying for their care,â said Sen. Clarence Lam, a Democrat representing Howard and Anne Arundel counties.
Over the last 10 years, reducing the uninsured population from 13% to 6% has resulted in a savings of $460 million in that uncompensated care, according to a recent study, said Vincent DeMarco of Maryland Health Care for All.
âThis is a great day for Maryland because we all benefit when more people have access to health insurance coverage,â he said.
While the debate was civil in the Senate on Friday, the bill sponsor, Sen. Antonio Hayes, said the rhetoric has been worse beyond the State House.
âOutside of here, Iâve gotten really scathing messages, including personal threats to me,â the Baltimore Democrat said.
Traci Kodeck, CEO of HealthCare Access Maryland, a nonprofit that works to increase health plan enrollment, said the bill could help many people.
âIâm excited about the potential of this bill,â Kodeck said. âWe are already working with the community so I donât feel like itâll be a difficult challenge for us to connect with them.â
CareFirst BlueCross BlueShield, a nonprofit carrier that is the stateâs largest insurer, supported the Access to Care Act, said Rebecca Hollamon, a CareFirst spokesperson.
âPeople without insurance coverage have inadequate access to care compared to those who are insured, and when people do not have insurance, the cost of care can be debilitating,â she said.
Maryland
Candidates nominated with under 40% of the vote in Maryland and New York primary elections – FairVote
Maryland and New York held primary elections this week, with several open seats attracting large and competitive fields. However, those crowded fields caused a problem. Winners of several key races were backed by only a small share of voters; in one case, just 32% of voters supported the nominee.
Maryland and New York could solve their plurality problem by adopting ranked choice voting (RCV) – a reform that gives voters more choice, and ensures the winners of elections have majority support.
Plurality winners in the Maryland primary
When votes are spread between many candidates, winners can emerge with less than majority support. For example, nearly two dozen candidates ran to replace retiring Rep. Steny Hoyer in the Democratic primary for Maryland’s 5th Congressional District. Hoyer was the second-ranking Democrat in the House for two decades, and according to Baltimore-based political scientist Jé St Sume:
Whoever wins this primary will do more than fill an open seat… They will help shape the Democratic Party’s direction heading into November and, potentially, the 2028 presidential cycle.
However, when “choose one” elections do not produce majority winners, it can be unclear whether the winners best reflect the preferences of voters, or simply benefitted from the way votes were split among candidates. On Tuesday, Maryland State Delegate Adrian Boafo won with just 32% of the vote – meaning 68% of voters picked someone else.
Nearby Montgomery County – the most populous county in Maryland – had three primaries where no candidate earned support from a majority of voters. Most notably, the Democratic primary for Montgomery County executive – a critically important role as chief executive of this million-person county – was won with 41% of the vote. This marks the third Democratic primary in a row for this seat in which the winner lacked majority support – and in which the margin between the top two candidates was dwarfed by the number of votes for lower-performing candidates.
Margins of victory in recent Democratic Montgomery County executive primaries
| Year | % votes for winner | % votes for runner up | Margin between top two | Votes for other candidates |
| 2026 | 40.84% | 33.51% | 7.33% (6,549 votes) | 22,938 |
| 2022 | 39.20% | 39.18% | 0.02% (32 votes) | 25,764 |
| 2018 | 29.02% | 28.96% | 0.06% (77 votes) | 54,359 |
Maryland’s 6th Congressional District also saw notable plurality wins on Tuesday. The Democratic and Republican primaries saw winners emerge with just 44% and 43% of the vote, respectively.
Plurality winners in the New York primary
New York State also held primary elections yesterday, and Rep. Jerry Nadler’s retirement drew a crowded Democratic field in the 12th Congressional District. New York Assembly Member Micah Lasher won that primary with 39% of the vote. His closest competitor had 35%, and other candidates totaled 26% of the vote.
Boafo and Lasher are heavily favored to win their deep-blue seats in November, meaning a fraction of a fraction of the electorate is effectively choosing the next representatives for their entire districts. Overall on Tuesday, there were six congressional primaries in Maryland and three in New York State in which winners are on track to emerge without majority support from their party.
Ranked choice voting lets more voters be heard
Ranked choice voting would solve this problem, ensuring nominees have support from a majority of their party. With RCV, voters rank candidates in order of preference. If no one has a majority of votes, the lowest-performing candidates are eliminated until a candidate reaches 50% support.
Voters can vote honestly, without worrying about whether their favorite candidate has a chance to win. If your top choice is eliminated, your vote counts for your next choice. In this year’s Montgomery County executive primary, for example, the nearly 23,000 voters who cast a ballot for a lower-performing candidate would have been able to weigh in between the two frontrunners.
Many voters across both states have already embraced this idea. New York City uses RCV in its local primaries, and 76% of voters say they want to keep or expand RCV. Takoma Park, MD also uses RCV in local elections. The Montgomery County, MD delegation to the state legislature has repeatedly sponsored legislation to allow RCV in its County Council elections.
Maryland and New York are well positioned to expand the use of RCV, and deliver more representative outcomes across state and local contests. To learn more, visit Ranked Choice Voting Maryland and Common Cause New York.
Maryland
Maryland congressional incumbents cruise to primary wins
Maryland
SCOTUS holds the fates of 20,000 Haitian TPS recipients on Maryland’s Eastern Shore
Real journalists wrote and edited this (not AI)—independent, community-driven journalism survives because you back it. Donate to sustain Prism’s mission and the humans behind it.
Seven days after giving birth to a son in Salisbury, Maryland, immigration authorities took away 27-year-old Emane Alexandre’s husband following a scheduled court appearance for their pending Temporary Protected Status (TPS) and asylum applications.
This form of government protection, granted by the Department of Homeland Security, is issued to immigrants who are unable to safely return to their home countries due to armed conflict, an environmental disaster, an epidemic, or other extraordinary and temporary conditions. TPS was established for Haitians 16 years ago, following the devastating 2010 Earthquake in Haiti that killed hundreds of thousands.
There are approximately 350,000 Haitians with TPS in the U.S., and more than 20,000 Haitians on Maryland’s Eastern Shore. President Donald Trump has attempted to end TPS for multiple countries—including Haiti. TPS expired for the country on Feb. 3, though it was temporarily stayed by a federal judge. The Trump administration asked the Supreme Court to intervene, and now, thousands of families are in limbo as they await the court’s decision this month in Miot v. Trump.
Not only does Alexandre’s fate in the U.S. rest with the stacked Supreme Court, but so does her son’s. The court will also issue a decision this month on birthright citizenship, determining whether the children of newly arrived undocumented parents are U.S. citizens.
The administration’s ongoing xenophobic attacks have wreaked havoc on immigrant communities. This is especially true for Haitians, who found legal protection in the U.S. and whose futures in the country are now uncertain.
“The immigration system is slavery”
In October 2023, Alexandre fled her home in the Haitian-Dominican border town of Ouanaminthe, where the Earth is hot and the Dajabon River, also known as the Massacre River, separates the two countries. She left following an armed attack that destroyed her clothing business. Kidnapped, violated, and scared for her life, she felt unsafe staying in the country. Violence continues to roil the region. In February, four decapitated Haitian women were found along the border in Ouanaminthe.
Like many migrants from across the world, Alexandre made her way to Mexico in 2023 in hopes of requesting asylum at the U.S.-Mexico border. This is where she met Wesley Pericles, who made the trek up from Chile. The couple was stuck in Mexico for close to a year waiting for an asylum appointment. Eventually, Alexandre and Pericles were paroled into Texas on Christmas Eve 2024 to await their asylum hearing in the U.S. Alexandre was six months pregnant at the time. “I was finally able to take a breath,” she said.
They immediately made their way to Salisbury, where Pericles had a friend working in a poultry processing plant, a $4.6 billion industry that has shaped the region. Along the Eastern Shore, a coastal region that includes Delaware, Maryland, and parts of Virginia, industrial poultry farms and processing plants dot the landscape, creating company towns. Historically, the region was a hub for slavery. It was also the birthplace of Harriet Tubman and Frederick Douglass, and a throughway for the Underground Railroad. Today, more than two-thirds of workers in meat and poultry processing industries are Black or Latinx and an estimated 40% to 50% are migrants.
Immigrants account for 17% of Maryland’s population, and they are the primary workforce for poultry giants in the region, such as Perdue and Mountaire Farms. In nearby Wicomico and Sussex Counties, the overwhelming majority of residents voted for Donald Trump in the 2024 presidential election. Ronald Cameron, CEO of Mountaire Farms, was a major donor to Trump’s campaign. Last summer, ahead of TPS expiring for Haiti, Mountaire plants laid off TPS workers who did not have a five-year work permit.
Mountaire did not respond to Prism’s request for comment.
One of Mounaire’s laid-off workers was Jean-Ronald Petit-Frere. In Haiti, the 47-year-old worked as a security guard for a Christian nonprofit. He reported armed group members to the police and he received death threats in return. He fled the port town of Leogane for the Haitian island La Gonave, where he was born. But the threats followed, so he hopped on a container ship to Puerto Rico.
His cousin was kidnapped, and his 16-year-old daughter was murdered in retribution for his cooperation with police. Four of his children remain in Haiti today.
After applying for both TPS and asylum, Petit-Frere received a work permit. In 2021, he joined his childhood friend in Salisbury, where he found work at Mountaire in 2022. He worked for the company for three years, earning enough to enroll his children in school in Haiti. He finally felt as if his life was moving forward, but last summer, he received a letter from the government instructing him to report to Immigration and Customs Enforcement (ICE). Ultimately, he was given the choice to state his case in front of a judge or self-deport for $1,000. He took his chances in front of a judge and was allowed to remain in the U.S.—for now.
Soon after his court appearance, Petit-Frere lost his job. Though free, his life still hangs in the balance.
“I have nowhere else to go,” said Petit-Frere, his voice breaking as he considered the possibility of deportation. “If I go back they will kill me—they will kill my children.”
Another Haitian TPS recipient discarded by Mountaire is Venise Paul. She and her husband, also a Mountaire worker, bought a house in Salisbury in 2023, and their young children go to school in the area. The 40-year-old has lived in the U.S. for 12 years, and she started packing chicken at Mountaire in 2019. In January, she and her husband were laid off, a week apart. She begged Mountaire to let her stay, but management refused.
“I came here for a better life, I paid taxes, I haven’t done anything bad in the country,” she said.

Photo by Jess Dipierro Obert
Ultimately, whether an immigrant pays taxes or has a clean record has little bearing on whether they become targets for deportation—and this is especially true for Black immigrants under the Trump administration. Trump vowed to carry out mass deportations during his second term, and Black immigrants have been a regular target of the president’s racism and xenophobia.
“If you do not have a green card or citizenship, the immigration system can feel like slavery all over again,” said Dr. Marie D Bernadette Fouché, a former Centers for Disease Control and Prevention consultant and the founder and president of Safe Harbor Circles, an organization that provides support to immigrant communities across Maryland’s Eastern Shore.

The uptick in local job loss has caused some of Maryland’s migrant workers to become homeless, according to Rebirth, a Haitian nonprofit in Salisbury that supports the immigrant community. As unrest spiked in Haiti in 2024, Rebirth assisted 20-30 new immigrants a day, connecting them to government aid, healthcare, and other services.
Every Thursday, Rebirth’s founder, Habucuc Petion, and his wife Eddline, open a food bank for the community. The organization’s food bank was packed with community members in February after TPS for Haiti expired. Advocate Kenson Raymond stood at the front of the room and explained their rights in Haitian Creole, while members of the Black immigrants rights organization Haitian Bridge Alliance distributed packets about the Supreme Court’s TPS case and how recipients can prove work authorization in the interim.

In more recent months, the food bank’s attendance has dropped from 300 to 150—not because needs have lessened, but because people are afraid. The organization currently delivers directly to 19 people too scared to leave their homes.
“A lot of people had a few months left on their TPS and [poultry processing plants] let them go,” Petion said. “It’s like they are disposable.”
The court decision pausing the termination of TPS gave some hope they could begin working again. When Paul heard the news, she returned to Mountaire and once again asked for her job back. Again, management said no. Her husband now drives for Uber and the couple relies on food stamps to help feed their children.
Broadly, the court stay did not result in TPS recipients obtaining new work permit cards, said Guerline Jozef, co-founder and executive director of Haitian Bridge Alliance. According to advocates, the uncertainties around TPS are driving the hiring decisions of local poultry processing plants.
“They don’t want to take the risk to hire or bring back someone who they will have to let go again in a month or two,” Raymond said.
The targeting of Haitian immigrants in Maryland has made life in the region even more precarious.
Lyna Cobite, 60, had TPS since 2010 and lived in Salisbury for more than two decades. Her standing as a local, respected tax-paying business owner and mother of two American citizens did not save her from the Trump administration.
On May 15, Pastor Roosevelt Toussaint of the World of Life Center drove Cobite to what she believed would be a routine immigration appointment. However, Cobite didn’t return from the appointment. ICE detained her, claiming it had no record of her status as a TPS recipient. She was detained in Baltimore. “I feel very bad,” Toussaint said. “I encouraged her to go.”
Cobite’s niece, Patricia Vilacon, fought for her release. “My heart [was] pounding,” said Vilacon, describing the moment she learned her aunt was detained. “I [felt] the same exact pain as when my mom passed.”
After three days, Cobite was released, though she’s being monitored by ICE. “I just want her to be free,” her niece told Prism.
No safe return
Apart from video calls, Alexandre hasn’t seen her husband, Pericles, since last May.
Pericles, 32, was taken by ICE in May 2025 when the Trump administration first rolled out nationwide enforcement operations. Agents detained Pericles at a routine immigration appointment, in violation of basic due process.
In search of legal support, Alexandre connected with Jozef of Haitian Bridge Alliance. The organization provided three-months of rent assistance and offered a pro-bono lawyer. While tremendously helpful, Alexandre was still distraught.
The first week following her husband’s detainment, the stress made it difficult for her to breastfeed or to even remember her own name. The trauma of family separation one week after giving birth was too much to bear.
After Pericles’ detainment, Alexandre was left alone to raise their son while her husband spent a year shuffled between ICE detention centers in Louisiana and New Jersey. While in New Jersey, a judge ordered Pericles’ deportation for Nov. 10, 2025, but it was delayed for months. Living in a cramped cell with more than 100 people, he eventually found himself begging for a flight home.
“I was suffering from a fever that wouldn’t go away, headache, and a terrible toothache,” he later explained over a WhatsApp video call from Haiti. “I couldn’t eat.” While seemingly innocuous, a toothache can be deadly, given the inadequate healthcare and dire conditions inside detention centers. Earlier this year in Arizona, a detained Haitian man died from an untreated toothache.
During the first week of 2026, with his hands and legs shackled, ICE deported Pericles to Northern Haiti. In February, Alexandre was issued her own deportation order for March 11, but it was stayed after an emergency appeal by her lawyer.
In the months since, she received a work permit, but she is too scared to leave her apartment.
Despite her fear, she is not ready to give up on her dream of reuniting her family in the U.S. Her son, after all, is an American citizen—at least for now.
The topic of guardianship has become a regular focus of conversation among Haitian TPS recipients. Alexandre recently asked Fouché if she might be her son’s guardian— just in case.
“I don’t know what to do yet,” Alexandre said. “I would like to work, pay my bills, get my husband back so we can be together again.”

Currently, there is no legal way for Pericles to return to the U.S., and he finds himself displaced in Haiti as well, after armed groups in Artibonite set his parent’s home and small garden on fire. According to the United Nations, the armed group Gran Grif killed upward of 70 people in March as part of a massacre in the area, burning and looting more than 50 homes.
More broadly, Haiti is still reeling from the July 2021 assassination of President Jovenel Moïse, which gave armed groups expansive control of more than 90% of the Haitian capital and national highways connecting the country. Women are at high risk of sexual violence, and more than 1.4 million people have been displaced. In May, Doctors Without Borders/Medecins Sans Frontieres (MSF) was forced to close a hospital in Port-au-Prince’s Cité Soleil neighborhood after it was flooded with gunshot victims and more than 800 people seeking refuge—a reflection of the healthcare crisis awaiting those sent back.
“People are risking their lives simply to reach a medical facility,” said MSF U.S. CEO Tirana Hassan in a statement.
These are the conditions Alexandre and thousands of others are fearful of returning to, and these are the conditions the U.S. government ignores as it deports Haitians such as Pericles. Even the Toussaint Louverture International Airport in Port-au-Prince remains closed due to armed groups shooting at airliners. Since July 2018, the State Department has given the country a Level 4: Do Not Travel warning, and the U.S. ban on international aviation to the country was recently extended through September.
Still, deportation flights to Haiti continue.
Editorial Team:
Tina Vasquez, Lead Editor
Lara Witt, Top Editor
Stephanie Harris, Copy Editor
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