U.S. COMMITTEE FOR REFUGEES AND IMMIGRANTS
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Refugee Cash and Medical Assistance Restored to 12 Months

November 9, 2026

On October 1, 2026, the Office of Refugee Resettlement (ORR) extended the eligibility period for Refugee Cash Assistance (RCA) and Refugee Medical Assistance (RMA) to 12 months. The notice updates a July announcement that had raised eligibility from four months to eight. This is the third change to both programs since March 2025. On March 21, 2025, ORR announced it would cut RCA and RMA from 12 months to four, citing a projected budget shortfall.  

USCRI welcomes the extension, which it recommended in its May policy brief, Refugee Medical Assistance: A Strong Start Requires Strong Health Coverage. 

Why It Matters 

Twelve months better reflects the time it takes to resettle in the United States. The first year is often when refugees complete domestic medical screenings, establish a primary care provider, start managing medical conditions, and move into steady employment. When ORR expanded the eligibility period to a full year in 2022, it noted that the longer period gives refugees and other eligible populations time to become self-sufficient. 

The extension arrives as H.R. 1’s restrictions on federally funded Medicaid take effect, making the first year of coverage more important than ever. For more on those changes, see USCRI’s Medicaid Policy Explainer.  


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