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With ICE Using Medicaid Data, Hospitals and States Are in a Bind over Warning Immigrant Patients

CMS data-sharing with ICE affects Medicaid recipients' privacy, complicating hospital policies as 22 states seek to block access to immigrant information, federal judge limits data use.

  • The Centers for Medicare & Medicaid Services granted ICE direct access last spring to a Medicaid database with enrollees' addresses and citizenship status, forcing hospitals and state Medicaid agencies to decide whether to warn immigrant patients.
  • After President Donald Trump's return last year, the administration funneled data to the Department of Homeland Security, prompting twenty-two states to sue and a federal judge to demand disclosure last summer.
  • In the 22 states that sued, the court limited sharing to basic data about people not lawfully present and barred ICE from accessing information on medical services, while ICE accesses all Medicaid enrollee records in the remaining 28 states.
  • Hospitals contacted by KFF Health News said they are not directly warning patients, despite concerns warnings could deter immigrants from seeking emergency care, with Emergency Medicaid covering only emergency and pregnancy care.
  • Medicaid experts warn that separating data to protect citizens is nearly impossible, despite Emergency Medicaid reimbursing nearly 77 million in 2023 and a 2013 ICE policy memo promising not to use health data for enforcement.
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By Phil Galewitz, Amanda Seitz, and KFF Health News. The Trump administration's decision to grant deportation officials access to Medicaid data is putting hospitals and states in a difficult position as they consider whether to warn immigrant patients that their personal information, including home addresses, could be used in efforts to remove them from the country. Warning patients could discourage them from enrolling in a program called Emerge…

·Idaho Falls, United States
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centralwinews.com broke the news in Taylor County, United States on Thursday, February 5, 2026.
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