This study aimed to investigate the effects of documentation status on pediatric kidney transplant outcomes in a single-center setting, emphasizing the significance of state and federal policies like Deferred Action for Childhood Arrivals (DACA) on patient outcomes. A cohort of 283 patients, including 48 undocumented individuals, who received their first kidney transplant as children between 1998 and 2011 was analyzed. There was no significant difference in unadjusted all-cause (p=0.91) and death-censored (p=0.38) graft survival between undocumented patients and US residents. Additionally, in the Cox proportional hazards model, immigration status was not significantly associated with all-cause graft survival (HR 0.87 95% CI 0.51-1.46, p=0.6). Telephone interviews were conducted with the undocumented cohort. 41/48 of the undocumented recipients were contacted. 95% had access to insurance with 68.3% on Medicaid or Medicare. DACA recipients exhibited higher employment rates (88% vs. 67%, p=0.11) and were more likely to complete a degree beyond high school (47.1% vs. 12.5%, p = 0.01). Immigration status did not impact long-term graft survival, suggesting eligibility expansions for state-funded insurance and DACA may improve access to transplant care for undocumented patients. Moreover, DACA recipients showed trends toward increased employment and education compared to non-DACA recipients.