Refugee Resettlement Clinic Faces Funding Changes Amid Declining Demand

The Austin Public Health Committee meeting on September 3, 2025, spotlighted the challenges facing the city's Refugee Resettlement Program, particularly as funding and insurance changes impact service delivery. Currently operating on a budget of $5 million, the clinic has successfully reduced its waitlist for refugee healthcare from 400 to under 50, demonstrating effective management of referrals. However, the demand for services has significantly decreased, attributed to changes in federal insurance policies and a climate of uncertainty among potential clients.

Committee members discussed how recent adjustments to the insurance provided to resettled individuals have cut their access to essential healthcare from a full year to just four months. This change has created additional pressure on refugees to navigate complex healthcare needs quickly, raising concerns about their ability to fully utilize available services. The fear surrounding visa validity and trust in the healthcare system further complicates the situation, leading to hesitance among refugees to seek necessary care.

Despite these challenges, the clinic remains committed to serving all referrals received, with no cases turned away. The committee acknowledged the importance of continued support as the clinic transitions into a no-cost extension period, allowing services to persist through the end of the year. The discussions underscored the urgent need for ongoing funding and policy support to ensure that refugees can access the healthcare they require during their critical resettlement period.