Improving Access to Kidney Transplantation for Undocumented Immigrants with End-Stage Renal Disease

November 15, 2019

This policy brief is aimed at California policymakers and health policy advocates to prioritize policies that assure access to organ transplant waiting lists for undocumented and uninsured patients with end-stage renal disease (ESRD) currently receiving hemodialysis through state programs. California is one of 12 states offering scheduled dialysis to undocumented patients, accounting for 2% of the 61,000 patients receiving dialysis in the state.1However, these same patients have almost nonexistent access to kidney transplants. Allowing undocumented dialysis-dependent patients access to kidney transplants is a cost-effective alternative to dialysis. This summary of evidence and recommendations advance the California Initiative for Health Equity and Action’s goal of improving access to care for all Californians, irrespective of legal status or socioeconomic position.

Read the full brief.