Also verifying citizenship with DHS, verifying no benefits are currently being received by Medicare, Medicaid or through Veterans Affairs. I'm sure a lot more.

Also verifying citizenship with DHS, verifying no benefits are currently being received by Medicare, Medicaid or through Veterans Affairs. I'm sure a lot more. It's a nightmare combination of legacy DB integration where if you make one mistake that ends up in an illegal immigrant getting healthcare your ass will be hauled into Congress to testify.