The proclamation gives immigrants 30 days from entry to acquire unsubsidized health insurance, meaning that any plan part of the Affordable Care Act or other government program is ineligible. It is unclear whether immigration officers will enforce the requirement before entry, or if families will be allowed entry with proof they are financially able to purchase health insurance. This proclamation will hit family-based immigration and the diversity lottery the hardest. Exceptions to the rule include children of U.S. citizens and children adopted by U.S. citizens, among others. The rule will go into effect on November 3.
Anyone who is able to adjust status from within the United States, rather than filing for an immigrant visa, should do so, because adjustment of status is outside the scope of the proclamation. Also, anyone able to get their immigrant visa before November 3, 2019 should make every effort to do so.