In this Spotlight, we provide an overview of Massachusetts’ current eligibility landscape and outline the barriers that immigrants face when they seek access to quality care, highlighting the case of the Brockton Workers Alliance. Drawing on Dr. Leah Zallman’s legacy, we note the contributions that immigrants make to our society’s public healthcare infrastructure, pointing out the intrinsic unfairness of immigrants being denied access to a service to which they contribute. We then provide some examples of policy initiatives and actions that either restrict or expand immigrant access to care and end with suggestions regarding further cross-sector collaboration for health equity.