This executive order effectively promotes a chilling effect among immigrant communities and erodes health equity. Those impacted may be at risk of immigration enforcement and deportation despite previous legal citizenship status and lose benefits provided to United States Citizens. Directly impacted individuals may be stripped of their social security number, making them ineligible for employment, Medicaid and other federal benefit programs. These actions may erect barriers to preventative health care and worsen health disparities. In addition to lack of access to healthcare, ineligibility for employment and federal housing and food programs may result in reduced access to the conditions that support wellbeing and health, and ultimately may lead to adverse and permanent negative health outcomes.