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Health Care Workers Want ICE Out of Hospitals, and Blue States Are Responding

Hospitals face challenges informing immigrants that ICE accesses Emergency Medicaid data, which covers nearly 80 million people, raising concerns about patient safety and care avoidance.

  • Hospitals are weighing whether to notify immigrant patients that ICE may access Medicaid data, which could deter Emergency Medicaid enrollment or leave patients exposed, as some materials do not disclose sharing with ICE.
  • The federal government moved last spring to give ICE direct access to a Medicaid database with enrollees' addresses and citizenship, while a December judge limited sharing in the 22 states that sued but allowed broader access in the remaining 28 states.
  • Emergency Medicaid dates to the mid-1980s and affected nearly 80 million enrollees, despite hospitals and states' past assurances that data would remain confidential.
  • Legal and health experts warn that if hospitals disclose ICE access to Emergency Medicaid data, adults who reported skipping or postponing care may avoid emergency treatment, as Sarah Grusin advised hospitals to be transparent.
  • Inconsistencies exist as of recent, with some materials still claiming confidentiality, while Utah removed such language after Jan. 23; HHS and CMS responses remain unclear.
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Pennsylvania Capital-StarPennsylvania Capital-Star
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Health care workers want ICE out of hospitals, and blue states are responding

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naked capitalism broke the news in on Sunday, February 8, 2026.
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