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

Hospitals face challenges in notifying immigrant patients as ICE accesses Medicaid data in 28 states, while a judge limits sharing in 22 states, with $4 billion spent on Emergency Medicaid in 2023.

  • CMS, part of the Department of Health and Human Services, agreed to give ICE access to a Medicaid database fed by monthly state reports that include enrollees' addresses and citizenship status.
  • Twenty-Two states sued to block the agreement, and a federal judge's December ruling limited CMS data-sharing in those states to basic information and barred sharing citizens' or lawfully present immigrants' data.
  • Hospital representatives typically help patients apply for Emergency Medicaid while still in facilities, and KFF Health News found many hospitals declined to say if they updated disclosure policies or warn applicants about ICE sharing.
  • Warning patients could deter sign-ups for Emergency Medicaid, which reimbursed hospitals nearly 77 million dollars in 2023, as about a third of adult immigrants reported skipping care.
  • Medicaid experts say separating citizens' data from others is nearly impossible, deportation officials still have access in the remaining 28 states, and the federal health agency has not clarified safeguards.
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With ICE using Medicaid data, hospitals and states are in a bind over warning immigrant patients

By Phil Galewitz and Amanda Seitz, KFF Health News The Trump administration’s move to give deportation officials access to Medicaid data is putting hospitals and states in a bind as they weigh whether to alert immigrant patients that their personal information, including home addresses, could be used in efforts to remove them from the country. Related Articles What is atrial fibrillation and how is it treated? Colo…

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Local News Matters broke the news in on Sunday, February 15, 2026.
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