The Center for Immigration Studies (CIS) submits the following feedback to the U.S. Department of Health and Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), in response to the HHS’s proposed rule, titled "Clarifying Eligibility for a Qualified Health Plan through an Exchange, Advance Payments of the Premium Tax Credit, Cost-Sharing Reductions, a Basic Health Program, and for Some Medicaid and Children's Health Insurance Programs", as published in the Federal Register on April 26, 2023.