 Legislation of similar nature include the Deficit Reduction Act of 2005, which requires proof of identity and U.S. citizenship from all those applying for/renewing Medicaid coverage.In contrast to PRWORA, the Emergency Medical Treatment and Active Labor Act (EMTALA) of 1985 provides emergency medical care to all, without any requirements of proof of citizenship or residency.In some areas like Washington D.C., uninsured immigrants receive outpatient care from public clinics and community health centers.