Some of the major issues that have arisen about this clause are the extent to which it included Native Americans, its coverage of non-citizens legally present in the United States when they have a child, whether the clause allows revocation of citizenship, and whether the clause applies to illegal immigrants.
这一条款已经出现的一些主要问题包括：条款在何种情况下包括美洲原住民，非美国公民在美国合法居留期间如果产子，孩子是否可以拥有公民身份，公民权是否可以被剥夺，以及条款是否适用于非法移民。