Background: Cardiovascular disease (CVD) morbidity and mortality disproportionately affect racial and ethnic minority groups and can be mitigated by preventative services. However, research describing healthcare use in immigrants with CVD risk in the US is limited. Hypothesis: Immigrants with hypertension or diabetes will have lower healthcare utilization (HCU) than US-born non-Hispanic (NH) White adults. Methods: We analyzed cross-sectional data from the 2010-2018 National Health Interview Survey on 75,631 adults including Asian (N=3,120), African (N=393), and Latino (N=7,315) immigrants and US-born NH White adults (N=64,803) with hypertension or diabetes. HCU was defined as seen/talked to a general doctor, ≥1 doctor’s office visit, and ≥1 emergency department (ED) visit in the past 12 months. We used logistic regression to examine HCU disparities between immigrants and NH White adults and compared HCU among immigrants stratified by length of US residence. Results: Participants had a mean (±SE) age of 60.4 (±0.1) years, and 52% were female. Compared to NH White adults, Asian (adjusted odds ratio [aOR]: 0.79, 95% CI: 0.69-0.89, Table ), African (aOR: 0.68, 95% CI: 0.50-0.93), and Latino (aOR: 0.68, 95% CI: 0.62-0.74) immigrants were less likely to have seen/talked to a doctor in the past 12 months. All immigrant groups were also less likely to have ≥1 doctor office visit. Asian (aOR: 0.61, 95% CI: 0.55-0.68) and Latino (aOR: 0.85, 95% CI: 0.79-0.91) immigrants were less likely to have ≥1 ED visit than NH White adults. Compared to those with <10 years of US residence, HCU improved in immigrants with ≥10 years of residence (data not shown). Conclusion: Immigrants with CVD risk use less health services than NH White adults, yet HCU improves with longer US residence. CVD health policies must account for heterogeneity among immigrant groups, with targeted efforts toward recent immigrants, to improve HCU and prevent CVD complications.