How will my future visa application be affected if medicaid pays my twin babies hospital bill?

The answer is that yes, your use of these resources can create problems later on. Keep in mind that officers at the US Consulate are trying to figure out one's intent on visiting the US when applying for a visa. Visitors come here to visit, they do not come to work. They do not come to buy a car, they do not come to rent an apartment and generally they do not come to have children. With that said the fact is that people do come to the US and do have children in an effort to secure US citizenship to their children as a benefit of having been born in the US. Looking at your inquiry it appears that having children here was not necessarily your plan and instead you gave birth a little earlier than expected. One of the issues that consular officers have is trying to determine whether an individual will become a "public charge." This means someone who is likely to need the resources of the federal government to cover the costs of existence. So if you have used the government's safety net to pay for a complicated birth that could come back to hit you in the head in the future if that information were to become known to the consular officer. That is not to say that it will absolutely, positively prevent you from obtaining a visa in the future. But there is the possibility that this may create questions about your intentions of traveling to the US. Consular officers are very concerned that they will make the right decisions when it comes to predicting future behavior. Using the resources that you did could lead an officer to be concerned and you should be aware of this I would highly recommend that you make arrangements to pay the fees associated with the birth. Hospitals and other medical service providers will generally work with you on payment plans and it would be very helpful towards securing a visa in the future if you make attempts to pay the debt incurred back to those who paid the bill. This is indeed a great country that provides to those who need help when it is needed. But a consular officer looks at this and sees someone who took from the system without paying in to the system and that mentality can make it difficult to obtain a visa in the future. Good luck.