The U.S. Supreme Court on Monday allowed a Trump Administration rule to take effect that would alter the ability of immigrants to obtain permanent residency.

The “public charge” rule announced in August and initially blocked by a federal court judge would make it harder for people to immigrate to the United States if the government deemed that they would rely too heavily on public aid. Medicaid as well as food and housing assistance were included in the expanded definition of public aid.

Administration officials claimed the rule would promote “self-sufficiency and personal responsibility,” while opponents alleged it to be a “wealth test.”

Here is what leading Colorado officials and advocacy groups are saying about the 5-4 ruling:

“I am disappointed about the overall impact this ruling will have on all of us, but especially on our friends, neighbors and co-workers seeking a permanent residency status. This rule will force people to get health care in more expensive ways and will cause worse health outcomes for Coloradans; exactly the opposite of our mission and the work our state has led to increase access, affordability and choice in health. I’d like to remind our customers that the financial help they may receive through the Marketplace does not count negatively against them if going through the public charge review process.” – Kevin Patterson, Connect For Health Colorado CEO

“This is yet another horrific and harmful example of this administration’s disrespect and disregard for the health of immigrants. This rule says that if you need to use Medicaid to be able to get and stay healthy or need assistance to make sure you have food on the table or a safe house for your family to go to that your residency could be threatened … . The constant threats to immigrants by this administration are not accidental. It is not a coincidence that there is a new proposal or policy each time we turn around that takes away opportunities or threatens our safety. It is calculated and it is meant to make us live in fear. The sad fact is that it is working.” – Dusti Gurule, Executive Director of Colorado Organization for Latina Opportunity and Reproductive Rights

“The Supreme Court’s ‘public charge’ ruling targets the health and nutrition of children and families across the nation and hurts the American Dream. This rule is nothing more than a discriminatory test that will harm people regardless of their immigration status.” – U.S. Rep. Joe Neguse

“This is deeply concerning. The Trump Administration’s public charge rule is as shortsighted as it is cruel.” – U.S. Sen. Michael Bennet

“The rule will scare families away from accessing critical government programs like Medicaid and SNAP that promote health and well-being and make our communities stronger.” – Colorado Center on Law & Policy