FILE - In this March 24, 2014, file photo, Jane Delgado, president of the National Alliance for Hispanic Health, works in her office in Washington. A change in government procedures has led to a big jump in people losing coverage under the Obama health care law because of immigration and citizenship issues. "Same dog, different collar," said, evoking an old Spanish saying about situations that do not seem to change (AP Photo/ Evan Vucci, File)