This executive order directs actions that could be significant barriers for lawfully registered voters to cast their vote and meet a national ballot receipt deadline. The enforcement and reporting mechanisms will also cause a chilling effect for people who provide information on immigration forms, especially those in mixed status families. Health equity is tied to voting and civic participation. For example, rates of infant mortality are higher among Black and American Indian communities than white communities, but this disparity shrinks for all racial and ethnic groups in states that have better civic health and voter participation.